Item 4CCITY OF
SOUTHLAKE
MEMORANDUM
(June 18, 2013)
To: Shana Yelverton, City Manager
From: Robert H. Price, P.E., Director of Public Works
Subject: Approve annual contract renewal for Lewis Concrete
Restoration for manhole and wet well rehab services in an
amount not to exceed $250,000
Action
Requested: Approve annual contract renewal for Lewis Concrete Restoration
for manhole and wet well rehab services in an amount not to
exceed $250,000.
Background
Information: In late 2010, RJN Engineering Group completed a comprehensive
assessment of the Southlake waste water collection system.
Generally they found the network of pipes to be in good condition
and adequately sized to serve the needs of our customers. Most of
the defects found were on the concrete structures in the system
such as manholes, junction boxes and lift stations. While some of
the defects were caused by post -construction activities such as
earth grading, the more serious and on -going issue is the
degradation of the concrete structures do to acid formation in the
collection system.
Because of the corrosive nature of the wastewater collection
system, unprotected concrete structures in parts of the system
begin to fail long before the PVC pipes. In order to preserve these
components, the city solicited bids in FY 2011 for epoxy coating the
interiors to restore the structural integrity of the structures and
prevent further damage. The contract was awarded to Lewis
Concrete Restoration with the option of up to four annual renewals.
This year they have requested a 2.5% increase in pricing over the
FY 2012 prices as allowed in the original bid.
Since Lewis Concrete Restoration's performance during the first
two years of the contract has been very good, staff is requesting
council approval to renew the contract for another twelve months.
Financial
Considerations: Funding for purchases under this contract is available in the FY
2013 Waste Water Operations and CIP - Sanitary Sewer System
Rehabilitation Project.
Strategic Link: The maintenance of the utility system links to the city's strategy
map relative to focus area of Performance Management and
Service Delivery. The specific corporate objective that is met by
this purchase agreement is investing to provide and maintain high
quality public assets.
Citizen Input/
Board Review: N/A
Legal Review: Yes
Alternatives: The City Council may approve or deny this agreement.
Supporting
Documents: Bid Specification and Addendum
Renewal Proposal
Staff
Recommendation: Approve annual contract renewal for Lewis Concrete Restoration
for manhole and wet well rehab services in an amount not to
exceed $250,000.
Staff Contact: Robert H. Price, P.E., Public Works Director
Chuck Kendrick, Deputy Director of Public Works - Operations
May 20, 2013
Lewis Concrete Restoration
405 Ware Dr,
Buda, Texas 78610
Attn: Ms. Sherry Lewis
Subject: Option to Extend Notification for Provide Manhole and Wet Well Rehabilitation Services
RFB1105B429JT110016
Dear: Ms. Lewis:
The City of Southlake is providing notification they intend to extend the contract, pending City Council approval, for
"Provide Manhole and Wet Weil Rehabilitation Services RFB1105B429JT110016" copy included. This extension shall
become effective August 5, 2013, pending City Council approval (CC Award date ) and shall continue in full
force based on the terms and conditions of the initial award. Additionally as a condition of contract renewal a price
adjustment may be requested by the vendor and considered by the City. Your company has requested a two and one half
percent (2.5%) increase. This increase request has been approved for the renewal term of this contract.
The terms and conditions proposed and accepted in this renewal agreement are as follows:
Payment Terms:
Net 30 days (Unless otherwise noted — such as pre- and/or partial payment)
Method of Payment:
Shall he made by purchasing card or purchase order.
Delivery Terms:
FOB Destination
Delivery Locations:
IF STATED IN RFB DOCUMENT
Term of Contract:
Shall be effective for twelve months from date of renewal and is eligible for up to two (2) more
one (1) year annual renewals.
City Contact:
JACK THHOMPSON 817-748-8200
Send all billing to:
City of Southlake
1400 Main Street, Suite 440, Accounts Payable
Southlake, TX 76092 or Email: accou3itspayable(a?ci.southlake.tx.us
Other Charges:
The City of Southlake is a tax exempt municipal corporation and is exempt from all federal,
state, and local sales taxes.
All other specifications, terms and conditions shall be as provided in the original procurement documents. No other
attachments to or in response to this agreement will be accepted unless approved in writing by the Purchasing Manager
or an authorized representative of the City of Southlake.
Thank you for participating in our procurement process. Please call 817-748-8312 with any questions.
Sincerely,
Tim Slifka `
Purchasing Manager, CPPB
City of Southlake
1400 Main Street, Suite 440
Southlake, Texas 76092
tshfka(a,ci.soutlilake.tx..us
Phone:817-748-8312 Fax:817-748-8048
Contract and Award Accepted:
Signed:
Mayor John Terrell
City of Southlake
Date. -
Attest:
Alicia Richardson, TRMC
City Secretary
Approved as to Form and Legality:
City Attorney
1400 Main Street, Suite 440 Southlake, Texas 76092
LEWIS CONCRETE RESTORATION
335 Commercial Dr, Buda, TX 78610
Phone, 512.983.3283 Email: slewis@dewisconcreterestoration.com
May 19, 2013
Timothy Slifka
City of Southlake
1400 Main St. Suite 440
Southlake, TX 76092
Email: tslifka@ci.southlake.tx.us
RE: CONTACT RENEWAL AND PRICE INCREASE REQUEST: YEAR 2013:
Project: RFBL1.05B420JT110016: Manhole and Wet Well Rehab Services
Mr. Slifka:
The referenced manhole rehab annual contract is approaching renewal August 5, 2013. In
accordance with the contract renewal terms, LCR is requesting your approval of a 2.5% increase in
pricing as illustrated in the attached "Revised Schedule of Pricing: 2013-2014". The increase is
due to: travel related expenses, anticipated health insurance costs due to government requirements,
higher company insurance, and higher supplier costs.
We appreciate your consideration of the price request and renewal of the annual contract. Please
contact me if you require additional information.
We look forward to continued success with the City of Southlake.
Regards,
Sherry Lewis, CFO
"A Specialty Restoration & Preservation Company"
MWSBE, TX HUB Operating in TX, LA, TN, MS, and AR
On the JFeh at: i��ti1iv.le}� i�coruletcTrc�str1r'rrtir��r.crstrr
Revised Schedule of Pricing: 2013-2014
Item #
Quantity
Description of Products/Services
Unit Cost
Sewer Manhole Liner Per Vertical Foot for Four
1.
Per Vertical Ft.
Foot Diameter Manhole (4') per Scope of Services
CONDITION 1
$ 136.45
Sewer Manhole Liner Per Vertical Foot for Four
2.
Per Vertical Ft.
Foot Diameter Manhole (4') per Scope of Services
CONDITION 2
$ 197.21
Sewer Manhole Liner Per Vertical Foot for Four
Foot Diameter Manhole (4') per Scope of Services
3.
Per Vertical Ft.
CONDITION 3
$ 287.82
Sewer Manhole Liner Per Vertical Foot for Five
4.
Per Vertical Ft.
Foot Diameter Manhole (5') per Scope of Services
CONDITION 1
$ 170.56
Sewer Manhole Liner Per Vertical Foot for Five
5.
Per Vertical Ft.
Foot Diameter Manhole (5') per Scope of Services
CONDITION 2
253.18
Sewer Manhole Liner Per Vertical Foot for Five
6.
Per Vertical Ft.
Foot Diameter Manhole (5') per Scope of Services
CONDITION 3
346.45
7.
Per Square Ft.
Wet Well Liner Per Square Foot per Scope of
Services
$ 11.53
8.
Per
Additional Cementitous Repair Material Above
Initial I" of Material
$ 4.10 per %"
Traffic Control as Required by Texas Manual
9.
Per Hr
on Uniform Traffic Control in TXDOT Right of
Way$
205.00
Traffic Control as Required by Texas Manual
10.
Per Hr
on Uniform Traffic Control in High Traffic
Non -Residential Area
$ 153.75
11.
Per Hr
Traffic Control as Required by Texas Manual
on Uniform Traffic Control in Residential Area
$ 76.88
Other Vendor Charges. Please Explain.
flow thru plugs 6 -12" for water flow
conlrol inc u es piping
12,
Per Svc.
$ 410.00
Other Vendor Charges. Please Explain.
18"-24" flow thru plug
768.75
discharge hosepping
51.25
13.
Per Svc.
$
TOTAL ALL LINE ITEMS
$ 3,072.92
City of Southlake • Finance Department • 1400 Main Street, Suite 440 • Southlake, Texas 76092
817.748.8312
An EEO/Affirmative Action Institution
ORIGINAL DOCUMENT
C -ny Cyr CITYAF SOUTHI,AKE
ll
SCX3T AKE Council Action. Y N Ord./Res. No.
19 Date Approved
June 29, 2012
Lewis Concrete Restoration
405 Wane Dr.
Buda, Texas 78610
Attm Ms. Sherry Lewis
Subject: Option to Extend Notification for RFB1 105B420JT1 10016 Provide Manhole and Wet Well Rehabilitation
Services
Dear Ms. Lewis:
The City of Southlake is providing notification they intend to extend the contract, pending City Council approval,
resulting from your RFB1105B420JT110016 Provide Manhole and Wet Well Rehabilitation Services copy included
for Fi cal Year 2012-2013. This extension shall become effective after City Council approval (CC Award date
t4114611 and shall continue in full force based on the terms and conditions of the initial award. Additionally as a
condition of contract renewal a price adjustment may be requested by the vendor and considered by the City. In
support of a price adjustment, vendor may submit documentation as to the need of the price adjustment. Requests
for price adjustments may only occur at the time of renewal and only upon securing the approval of the City in
writing. Requests for price adjustments must be solely for the purpose of accommodating an increase in the
vendor's cost, not profit. You have indicated you will be requesting a four percent (4%) increase for line items 1-6 at
this renewal. Updated pricing has been included.
The terms and conditions proposed and accepted in this renewal agreement are as follows:
Payment Terms: Net 30 days (Unless otherwise noted — such as pre- and/or partial payment)
Method of Payment-, Shall be made by purchasing card or purchase order.
Delivery Terms: FOB Destination
Delivery Locations: IF STATED IN RFB DOCUMENT
Term of Contract: Shall be effective for twelve months from date of renewal and is eligible for up to three (3)
more one (1) year annual renewals.
City Contact: JACK THOMPSON 817-748-8200
Send all billing to: City of Southlake
1400 Main Street, Suite 440, Accounts Payable
Southlake, TX 76092 or Email: accountspayableaci.southlake.tx.us
Other Charges: The City of Southlake is a tax exempt municipal corporation and is exempt from all federal,
state, and local sales taxes.
All other specifications, terms and conditions shall be as provided in the original procurement documents. No other
attachments to or in response to this agreement will be accepted unless approved in writing by the Purchasing
Manager or an authorized representative of the City of Southlake.
Thank you for participating in our procurement process. Please call 817-748-8312 with any questions.
Sincerely,
im Slifka
Purchasing Mana r, CPPB
City of Southlake
1400 Main Street, Suite 440
Southlake, Texas 76092
ts1ifka@ci.southlake.tx.us
Phone: 817-748-8312 Fax: 817-748-8048
Contract and rd Accepted:
Signed:
Mayor John Terrell
City of Southlake
Date: $/ 4; 1' ._
Attest:
Alicia Richardson, TRMC
City Secretary
Approved as F an�eg I'
City Attorney
1400 Main Street, Suite 440
Southlake, Texas 76092
FEK 601 ;:
LEWIS CONCRETE RESTORATION
335 Commercial Dr, Buda, TX 78610
Office 512-983-3283 Email: sherrylewis@austin.rr.com
July 3, 2012
Timothy Slifka
City of Southlake
1400 Main St. Suite 440
Southlake, TX 76092
Email: tslifka@ci.southlake.tx.us
RE: CONTACT RENEWAL 2012: Manhole and Wet Well Rehabilitation Services
Mr. Slifka:
Lewis Concrete Restoration, LCR, has completed coating services for several manhole and
concrete structures for the referenced project over the past year beginning October 2011. The
contract renewal period is approaching.
Upon renewal, the contract calls for a consideration of price increase of not more than 4% after the
first year or for periods September 2012 thru September 2013. LCR's initial bid to the City of
Southlake was aggressive to insure award and work to LCR as a newly re-established company.
The contract's appealing 5 year escalating price option allowed for this aggressive pricing. We
realized at the initial bidding time, we could capture any shortfalls due to the aggressive pricing,
increases in fuel, travel, insurance, and maintenance and repair on equipment over a period of 5
years. The City of Southlake recognizes the most savings in the first year while providing an
opportunity for LCR to re-evaluate actual costs and price accordingly over each year; thus,
maximizing your budget dollar.
LCR is requesting your approval of a 4% increase in the coating and cement services for manholes
and concrete structures- items 1-6. I have attached a proposed price increase schedule for your
information. There is no change in Items 7-I3 since these prices are competitive at this time. As
mentioned above, the price increase is needed to recapture costs from the initial aggressive bid and
incremental operating costs of fuel including transportation fees, insurance, medical (47% increase
on current plan) and worker's comp (1.0% due to re-establishment), and equipment maintenance.
The proposed price increase remains competitive for the City.
We appreciate your business and the always exceptional, courteous, and friendly service we
experience by the City of Southlake personnel. We look forward to continued success and hearing
from you soon regarding your decision. Please contact me if you require additional information.
Regards,
Sherry Lewis, CFO
Revised Schedule of Pricing:
Sewer Manhole Liner Per Vertical Foot for Four
Foot Diameter Manhole (4') per Scope of Services
1.
Per Vertical Ft.
CONDITION I
133.12
$
Sewer Manhole Liner Per Vertical Foot for four
Foot Diameter Manhole (4') per Scope of Services
2.
Per Vertical Ft.
CONDITION 2
$ 192.40
Sewer Manhole Liner Per Vertical Foot for Four
Foot Diameter Manhole (4') per Scope of Services
3.
Per Vertical Ft.
CONDITION 3
$ 280'80
MEN -
!
y
Sewer Manhole Liner Per Vertical Foot for Five
Foot Diameter Manhole (5') per Scope of Services
4.
Per Vertical Ft.
CONDITION 1
166.40
$
Sewer Manhole Liner Per Vertical Foot for Five
Foot Diameter Manhole (5') per Scope of Services
247.00
5.
Per Vertical Ft.
CONDITION 2
$
Sewer Manhole Liner Per Vertical Foot for Five
Foot Diameter Manhole (5') per Scope of Services
338.00
6.
Per Vertical Ft.
CONDITION 3
$
_
Wet Well Liner Per Square Foot per Scope of
7.
Per Square Ft.
Services
$ 11.25
Additional Cementitous Repair Material Above
4.00
8.
Per'/s"
Initial 1" of Material
per %z"
Traffic Control as Required by Texas Manual
on Uniform Traffic Control in TXDOT Right of
200.00
9.
Per Hr
Way$
Traffic Control as Required by Texas Manual
on Uniform Traffic Control in High Traffic
150.00
10.
Per Hr
Non -Residential Area
$
Traffic Control as Required by Texas Manual
75.00
11.
Per Hr
on Uniform Traffic Control in Residential Area
S
Other Vendor Char es. Please Explain.
flow thru plugs 6 -12" for water flow
control inc u es piping
12.
Per Svc.
$ 400.00
Other Vendor Charges. Please Explain.
18"-24" flow thru plug
750.00
discharge hose/piping
50.00
13.
Per Svc.
$
sp-
-frti u_ c ''
e''tT.rS.-� fir *1 I MR
;� •+' ".-
TOTAL ALL LINE ITEMS
$ 2,997.97
City d Sonfhlake ` Finance Department • 1400 Main Skeet, Suite 440 • Southtake, Texas 76092
817.748.8312
An EEOIAffirmative Anion Insiitution
February 21, 2012
Lewis Concrete Restoration
405 Ware Dr.
Buda, Texas 78610
CJTY [fir
SCUTTRAKE
9
ORIGINAL DOCUMENT
CITY OF SOUTHLAKE
Council Action: 9/ N Ord,/Res. No.
Date Approved
Attn: Ms. Sherry Lewis
Subject: RF131105B420JT110016 Provide Manhole and Wet Well Rehabilitation Services
Dear Ms. Lewis:
The City of Southlake wishes to inform you the awarded contract for RFB1105B420JT110016 Provide Manhole and Wet Well
Rehabilitation Services awarded to your company on August 5, 2011 has now been approved for total purchases over Fifty
Thousand dollars $50,000) within a single fiscal year. This increase in award was approved by the City of Southlake City
Council on _a-aJ-j . All State of Texas and City of Southlake purchasing requirements to exceed fifty thousand dollars
($50,000) were met with the original bid documents.
The terms and conditions proposed and accepted in this agreement are as follows:
Payment Terms: Net 30 days (Unless otherwise noted — such as pre- andfor partial payment)
Estimated Quantities: The City does not guarantee to purchase any minimum or maximum quantity but does contemplate
purchasing the awarded items exclusively during the term of the contract from the successful
vendors.
Method of Payment: Shall be made by City procurement card or purchase order
Delivery Terms: FOB Destination
Delivery Locations: Vendor Delivery or City employee pick-up.
Term of Contract: The term of awarded contract shall remain in effect for twelve months from date of initial award and is
eligible for up to four (4) one (1) year annual renewals. First eligible renewal is scheduled for August
5, 2012.
City Contact: JACK THOMPSON 817-74M200
Send all billing to: City of Southlake
1400 Main Street, Suite 440, Accounts Payable
Southlake, TX 76092 or via email to accountspayable(a),ci.souihlake.tx.us
Other Charges: The City of Southlake is a tax exempt municipal corporation and is exempt from all federal, state, and
local sales taxes.
All other specifications, terms and conditions shall be as provided in the original procurement documents. No other attachments
to or in response to this agreement will be accepted unless approved in writing by the Purchasing Manager or an authorized
representative of the City of Southlake.
Thank you for participating in our procurement process. Please call 817-748-8312 with any questions
Sincerely,
Tim Slifka
Purchasing Manager, !CPP
City of Southlake
1400 Main Street, Suite 440
Southlake, Texas 76092
tslifka aRci.southlal e.tx.us
Phone: 817-748-8312 Fax: 817-748-8048
Contract and Award Accepted:
WSigned: Date:
Mayor John Terrell
City of Southlake
1400 Main Street, Suite 440
Ems - , bgt/u,yd sA4fJ(2J'y
Southlake, Texas 76092
ORIGINAL DOCUMENT
CITY OF SOUTHLAKE
Council Action: Y /P Ord./Res. No. _
COT
SOUTHLAKE
August 5, 2011
Lewis Concrete Restoration
405 Ware Dr.
Buda, Texas 78610
Date Approved
ATTN: Sherry Lewis
Subject: RFB1105B420JT110016 Provide Manhole and Wet Well Rehabilitation Services
Dear Ms, Lewis:
The City of Southlake is pleased to inform you that Lewis Concrete Restoration of Buda, Texas is the awarded vendor for
"RFB1105B420JT110016 Provide Manhole and Wet Well Rehabilitation Services." The award and this agreement are based on
your bid to the City, copy enclosed. This is a single vendor award contract. Your company's award is attached.
The terms and conditions proposed and accepted in this agreement are as follows:
Payment Terms:
Net 30 days (Unless otherwise noted — such as pre- and/or partial payment)
Estimated Quantities:
The City does not guarantee to purchase any minimum or maximum quantity but does contemplate
purchasing the awarded items exclusively during the term of the contract from the successful
vendors.
Method of Payment:
Shall be made by purchasing card or purchase order.
Delivery Terms:
FOB Destination
Delivery Locations:
Vendor Delivery or City employee pick-up.
Term of Contract:
The term of awarded contract shall remain in effect for twelve months from date of award
City Contact:
JACK THOMPSON 817-748-8200
Send all billing to:
City of Southlake
1400 Main Street, Suite 440, Accounts Payable
Southlake, TX 76092
Other Charges:
The City of Southlake is a tax exempt municipal corporation and is exempt from all federal, state, and
local sales taxes.
All other specifications,
terms and conditions shall be as provided in the original procurement documents. No other attachments
to or in response to this
agreement will be accepted unless approved in writing by the Purchasing Manager or an authorized
representative of the City of Southlake.
Thank you for participating in our procurement process. Please call 817.748.8312 with any questions
Sincerely,
Tim Slifka
Purchasing Manager, CPPB
City of Southlake
1400 Main Street, Suite 440
Southlake, Texas 76092
tsNfka(@cj.southlake.tx.us
Phone / Fax: 817.748.8312 / 817.748.8048
Contract and Award Accepted:
Signed:6 / IV
na Yelverto Manager
1400 Main Street, Suite 440
DATE: �a �L f
Southlake, Texas 76092
Appendix B — Bid Document
SHVIT al Checklist: (To determine validity of bid)
Appendix B (pages _8_ through _18, must be included in tht< bid submittal.
Appendix C (page _18, Conflict of Interest Form must be included In the bid submittal.
AH bids Submitted to the
City orsouthlake sh.
.111 inclilde this page With lite ml hos it It'll Hid alld arrha uppy of
RF'B1105B420JT110016
PROVIDE SEWER MANHOLE AND WET WELL
Tom
REHABILITATION SERVICES
3:00 P.M. (CST), FRIDAY JULY 15, 2011
City Secretary's Office
� 1:!•r its 1
1400 Main Street, Suite 270
Southlake, TX 76092
f'r,
81 748-8016
l��r�7ttYo"iilS"iinii , Z � � a1�zi; ^,•
�
Lewis Concrete Restoration
' ,;
405 Ware Dr.
.I r•Y
Buda TX 78610
2.7-2849234
delati
?7r�•'i £.,.c ma's'.' �f,�'�r+�k76@
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512-983-3283 5I2 626 6263
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YS Pik `P V{�� h��r' �''^ f Cis f�''� .�ps�R iS?F.•.,»��L•Si�•'i".:+FrT}��'ri� l`Z�i�'�k, �� -,, S - � j t� Fr
.rt1 Fyi iL •�• y - t I 1 , '�a f. �, r: ?', f A�. ryi '� ref f J - � ty '� - 1} i -,r {tl O
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`� � i '�(L] �;u�ar{�dJ '� tiYls,•.,5 - y��e�ai�s, rF ��x'" ��<f� a �, �r�:.__ sa
'l µ;}L�Ji ti.e di r '�*• -. i • - , y - f1, + C - 1 A,' ,� ,' f } �STF
i
� Y:i -'i- tf•o, t. I t 1 ti r r E��+ 1€-, ��,
0)h
:^YH��{y[�Y fl �il•i� Y5 ) ,;,5k 1 - 1
`v ry.}
� / ?� -�vl. .t'?5,1 Y. •3 �. H J� y
R-r.µ t_�i?�tC�..r '.� 4 :; r�`.tly. �S. C:.��� 3�-✓l �{ A�i.� '�%!1<yST ,rI�}'1'L�f T. �� Y�J., 4`I: ,K�,'•t: YrY�iKi'it,.
i learned of this Request for Bills by the following nicans:
❑ Newspaper Advertisement
❑ Southlake Website
❑ Mailed Me a Copy
® City E-mail Notification
Cold Call to City
❑ Other
City of Southlake - RFBI10SH420JTI I0016 - Page 8 of 18
Appendix B — Biel Document (continued)
L UQUIRED BID INFORMATION W ORDER FOR A BID TO BE CONSIDERED COMPLETE,
AND TO BE EVALUATED FOR A CONTRACT AWARD BY THE CITY, BIDDER MUST
SUBMIT ALL OF THE FOLLOWING INFORMATION:
1. Proposed Products and/or Services
A. Product or Service Descri tp ion: Bidders should utilize this section to describe the technical
aspects, capabilities, features and options of the service or product and/or service proposed in
accordance with the required Scope of Services as identified in Appendix A. Promotional
literature, brochures, or other technical information may be used.
Reference Sec A
B. Additional Hardware Descriptions: Bidders should also include in this section a detailed
description of what additional hardware and/or software, if any, would be required by the City in
order to fully utilize the goods and/or services proposed.
C. Material -Safety Data Sheets (MSD_Sl: If applicable, the successful Bidder shall provide the City
with applicable MSDS documentapon as required by applicable laws and regulations.
Re f er'ence Sec A
D. Guarantees and Warranties: Each Bidder shall submit a complete copy of any warranties or
guarantees provided by the manufacturer or Bidder with the Bid submitted.
Reference Sec D
E. Project Schedule/Delivery Date: Bidder must provide a project schedule noting all projected
completion dates for segments of the Project, from start-up to completion, and all delivery dates for
goods covered by the RFB. The Bid Document must show the number of days required to deliver
and install the product or equipment after the receipt of the City's Purchase Order.
scope of approx 11 manholes to be completed 30 days from date of P0.
2. Cost of Proposed Products and/or Services
A. Prlcin: Pricing shall reflect the full Scope of Services defined herein, inclusive of all associated
cost for delivery, labor, insurance, taxes, overhead, and profit.
B. Schedule of P ic'n : Bidder shall quote unit pricing in accordance with the itemized listing of
products or contract segments stated in the Scope of Services and using the following format:
1.
Per Vertical Ft.
Sewer [Manhole Liner Per Vertical Foot for Four
Foot Diameter Manhole 4') Rer Scope of Services
2.
Per Vertical Ft.
Sewer Manhole Liner Per Vertical Foot for Five
Foot Diameter Manhole S' r Scopeof Services
$ n/ a
3.
Per Square Ft.
Wet Well Liner Per Square Foot per Scope of
Services
$ n / a
4.
Per Svc.
Other Vendor Charges. Please Explain.
$ n / a
TOTAL ALL LINE ITEMS see revised
Pf ice sc
Reference Section B
.edule
City of Southtake - RFB1105B420JT110016 - Page 9 of 18
Revised Schedule of Pricing: Reference section B
Sewer Manhole Lbxr Per Vertical Foot for Four
Foot Diameter Manhole (4') per Scope of Services
1.
Per Vertical Ft.
CONDITION 1
128.00
$
Sewer Manhole Liner Per Vertical Foot for Four
Foot Diameter Manhole (4') per Scope of Services
2,
Per Vertical Ft.
CONDMON 2
$ 185.00
Sewer Manhole Liner Per Vertical Foot for Four
Foot Diameter Manhole (4') per Scope of Services
3.
Per Vertical FL
CONDITION 3
$ 27 0.00
Sewer Manhole Liner Per Vertical Foot for Five
Foot Diameter Manhole (5') per Scope of Services
4.
Per Vertical Ft.
CONDITION 1
$ 15 0.0 0
Sewer Manhole Liner Per Vertical Foot for Five
Foot Diameter Manhole (5') per Scope of Services
S.
Per Vertical Ft.
CONDMON 2
$ 237.50
Sewer Manhole Liner Per Vertical Foot for Five
6.
Per Vertical Ft.
Foot Diameter Manhole (5') pr Scope of Services
CONDITION
325.00
$
3
Wet Well Liner Per Square Foot per Scope of
7.
Per S Ft.
Services
11.2 5
$ _
Additional Cementitous Repair Material Above
8.
Per W
Initial 1" of Material
$ 4 .0 0 r W,
Traffic Control as Required by Texas Manual
an Uniform Traffic Control in TXDOT Right of
9.
Perm
Way
$ 200.00
TratTie Control as Required by Texas Manual
on Uniform Traffic Control in High Traffic
10.
Per i1r
Nan -Residential Area
$ 150.00
Traffic Control sa Regnired by Texas Manual
11.
Per Hr
on Uniform Trafflcc Control in Residential Area
75.00
$
Other
Vendor W THRU �PLUGSS 6 --112 " FOR
12.
Per Svc,
WATER FLOW CONTROL
UNIT COST TS PER PLUG EACH
S 400.00
Other Vendor Charges. Ptease Explain,
13.
Per Svc.
$
rr_
— I
TOTAL ALL LINE ITEMS - UNIT TOTAL
$ 2, 14 6.!00
MoFSw0dake • fbmwDep tnid • 14X AdairSired, Svk44i) • SmWA Tam 76%2
M.748.83f2
An EEWMannWa Asian inedtWk o
3.
4.
Bidder's Experience / Staff
A. Project Team: Identify all members of the Bidder's team (including both team members and
management) who will be providing any services proposed and include information which details
their experience. Reference Sec C
B. Removal or Re lacement of Staff. If an assigned staff person must be removed or replaced for any
reason, the replacement person must be approved by City prior to joining the project.
C. Business Establishment: State the munber of years the Bidder's business has been established and
operating. If Bidder's business has changed names or if the principals operating the business
operate any similar businesses under different names, or have operated any other businesses or
changed the legal status or form of the business within the last five (5) years, all names, of
predecessor business names, affiliated entities, and previous business entities operated by the
principals, if different than present, must be provided; F&L Concrete Services, Inc.
State the number of years experience the business has: 16 ; and the number of employees:
15
D. Project Related EUerigncc: All Bids must include detailed information that details the Bidder's
experience and expertise in providing the requested services that demonstrates the Bidder's ability
to logically plan and complete the requested project.
References
Bidder shall provide three (3) references where Bidder has performed similar to or the same types of
services as described herein.
RefP.rPnre#1- Citv of Laredo Manhol_P Rr?hah
Client/Company Name: City of
Laredo, TX
Contact Name: Angel Leon
ContactTitle:Assit. Super Wastewat
Phone: 956-721-2022 x3060
Email; aleon@ci _ laredo _ tx.us
Date and Scope of Work Provided: 2008-2009 : rehab of manholes in variou
locations by application of repair mortar and epoxy lining.
Reference2- City of Lago Vista Manhole Rehab
Client/Company Name: City of Lago
Vista
Contact Name; Dave Stewart
Contact Title: Director of Public W
Phone:512-267-1155
Email: dstewart@lago-vista.org
Date and Scope of Work Provided:
application of repair mortar
tank epoxy coating
manhole rehab various locat,
1-4" thick, epoxy coatings
Reference ffl- CitV of Robinson Manhole Rehab
Client / Company Name:
City of Robinson
Contact Name. Mike Owens
Contact Title: WW Operations Directo
Phone: 254-662-1415
Email:m.owens@robinsontexas.org
Date and Scope of Work Provided:
locations application
2010-2011: manhole rehab various
of repair mortar and epoxy coatings'
City of Soulhlake - RFB1105B420JT110016 - Page 10 of 18
r
,rks
ons
Reference Section C: Project Team
Field Superintendents: Juan Moreno, Lorenzo Aguilar
General Manager: Eric Lewis
PresidenVCFO: Sherry Lewis
Lewis Concrete Restoration Confined Space Entry Personnel Certifications.
IAUDERDALE-ENVIRONMENTAL ENGINEERING
3804 Cloudy Ridge Rd.., Austin, Texas 78734
Phone: 5121266-8933; Fax: 5121266-8933
Confined space Trailed: This card certifies that the following person has completed the required permit -required confined space
training.
Name: Heriberto Ramirez
Company: Lewis Concrete Restoration/ f/k/a F&L Concrete Serv.
Date of Training. 3/01/10
Trainer: Dave Williams
LAUDERDALE ENVIRONMENTAL ENGINEERING
3804 Cloudy Ridge Rd.., Austin, Texas 78734
Phone: 512/266.9933-1 Fax: 5121266-8933
Confined space Trained: This card certifies that the following person has completed the required permit -required confined space
training.
Name: Jesus Joventino Ramirez
Company: Lewis Concrete Restoration/ f/k/a F&L Concrete Serv.
Date of Training: 3/01/10
Trainer: Dave Williams
LAUDERDALE ENVIRONMENTAL ENGINEERING
3804 Cloudy Ridge Rd.., Austin, Texas 78734
Phony 512/266.8933, Fax• 5IM66-8933
Confined apace Trained: This card certifies that the following person has completed the required permit -required confined space
training.
Name: Fransisco Ramirez
Company: Lewis Concrete Restoration/ f/k/a F&L Concrete Serv.
Date of Training: 3/01/10
Trainer: Dave Williams
LAUDERDALE-ENVIRONMENTAL ENGINEERING
3804 Cloudy Ridge Rd.., Austin, Texas 78734
Phone: 5121266-8933; Fax: 5121266.8933
Confined space Trained: This card certifies that the following person has completed the required permit -required confined space
training.
Name: Jaime Ramirez
Company: Lewis Concrete Restoration/ f/k/a F&L Concrete Serv.
Date of Training: 3/01/10
Trainer: Dave Williams
LAUDERDALE ENVIR91NIMENTAI ENGINEE IiM
3804 Cloudy Ridge Rd.., Austin, Texas 78734
Phone: 5121266-8933; Fax: 512t16"933
Confined apace Trained: This card eertUice that the following person has completed the required permit -required confined space
training.
Name: Rodrigo Ramirez
Company: Lewis Concrete Restoration/ f/k/a F&L Concrete Serv.
Date of Training: 3/01/10
Trainer: Dave Williams
LAUDERDAkE ErqVIRQNMENTAL EN IN I
3B04 Cloudy Ridge Rd.., Austin, Texas 78734
Phone: 512/266.9931, Fax: 512/266-8933
Confined space Trained: This card certifies that the following person has completed the required permit -required confined space
training.
Name: Eric Lewis
Company: Lewis Concrete Restoration/ f/k/a F&L Concrete Serv.
Date of Training: 3/01/10
Trainer: Dave Williams
LAUDEADALE ENViRONMFNTAL ENGINEERING
3804 Cloudy Ridge Rd_ Austin, Texas 78734
Phone: 5121266-8933; Fax: 512/266-8933
Confined apace Trained: This card certifies that the following person has completed the required permit -required confined Space
training.
Name: Dionicio Escobar
Company: Lewis Concrete Restoration/ f/k/a F&L Concrete Serv.
Date of Training: 3/01/10
Trainer: Dave Williams
1AUDERDALF ENVIRONMENTAL ENGINEERING
3804 Cloudy Ridge Rd.., Austin, Texas 78734
Phone: 512/266-8933; Fax, 5121266-8933
Confined space Trained: This card certifies that the following person has completed the required permit -required confined spact
training,
Name: Jesus Ramirez
Company: Lewis Concrete Restoration/ f/k/a F&L Concrete Serv.
Date of Training: 3/01/10
Trainer: Dave Williams
LAUDERDALE EWRQNbd9ffAL JUOINEERIN9
3804 Cloudy Ridge Rd.., Austin, Texas 78734
Phone: 512f166.8933; Fax: 512(266-8933
Confined space Trained: This card certifies that the fallowing person has completed the required permit -required confined space
training.
Name: Raymundo Hernendez
Company: Lewis Concrete Restoration/ f/k/a F&L Concrete Serv.
Date of Training: 3/01/10
Trainer: Dave Williams
LAUDERDALE tVT L ENGINEERING
3804 Cloudy Ridge Rd.., Austin, Texas 78734
Phone: 512/266-8933; Fax: 512/266-8933
Confined apace Trained: This card certifies that the following person has completed the required permit -required confined apace
training,
Name: Travis Lewis
Company: Lewis Concrete Restoration/ f/k/a F&L Concrete Serv.
Date of Training: 3/01/10
Trainer: Dave Williams
LAUDERDAIE ENVIRONMENTAL ENGINEERING
3804 Cloudy Ridge Rd.., Austin, Texas 78734
Phone: 5IM66-8933; Fait: 512)266-8933
Confined apace Trained: This card certifes that the following person has completed the required permit -required confined apace
training,
Name: Lorenzo Aguilar
Company: Lewis Concrete Restoration/ f/k/a F&L Concrete Serv,
Date of Training: 3/01/10
Trainer: Dave Williams
LA DERO
3804 Cloudy Ridge Rd.., Austin, Texas 78734
Phone: 5121266-8933; Fax: 5121266-8933
Confined space Trained: This card certifies that the following person has completed the required permit -required confined space
training.
Name: Juan Moreno
Company: Lewis Concrete Restoration/ f/k/a F&L Concrete Serv.
Date of Training: 3/01/10
Trainer: Dave Williams
Lewis Concrete Restoration
Statement of Qualifications
Team Member. Juan Moreno
Title. Field Supervisor
Experience/Quallil cations
Field Supervisor- (July 2010 -current) Lewis Concrete Restoration
Works with 4-6 crew members In field operations for the Coating Division.
Directs and oversees labor personnel, field operations, safety guidelines, and equipment
maintenance. Experience for over 13 years in the concrete rehab and coating Industry.
His expertise expands from concrete rehab, shotcrete, water control, surface preparation
and confined space, to specializing in epoxy coatings Including those manufactured by
Raven Lining Systems. Travels extensively in various central regions of the United States
including Texas, Colorado, Oklahoma, Arkansas, Missouri, and California. Worked and supervised
the shotcrete of a 54" tunnel for the Bama Garner Tunnel project. Oversees all S. Texas projects and
crews Including Laredo, Brownsville, and Mercedes, TX. Coordinates projects and
crew, equipment, and trains new personnel. Works with client's project Manager onslte.
Liasion between client jobsite personnel and LCR personnel. Di -lingual.
Field Supervisor - (2002-July 2010) F&L Concrete Services, Inc„ Austin, TX
Works with 4-5 crew members in field operations for the Austin Coating Division.
Directs and oversees labor personnel, field operations, safety guidelines, and equipment
maintenance. Experience for over 8 years in the concrete rehab and coating Industry.
My expertise expands from concrete rehab, shotcrete, water control, surface preparation
and confined space, to specializing in epoxy coatings including those manufactured by
Raven Lining Systems. Travels extensively in various central regions of the United States
including Texas, Colorado, Oklahoma, Arkansas, Missouri, and California. Worked and supervised
the shotcrete of a 54" tunnel for the Bama Garner Tunnel project.
Education
Confined Space Training - CSHI
Jan 14, 2008
Respirator Fit Testing - CSHI
Jun 16, 2008
Respirator Classroom Training - CSHI
Jun 16, 2008
CPR training - CSHI
May 30, 2008
Confined Space Training - Lauderdale
March 3, 2010
Lewis Concrete Restoration
Statement of Qualifications
Team Member: Lorenzo Aguilar
Project Title: Field Manager
Experience/Qualifications
Field Manager - (July 2010 - current) Lewis Concrete Restoration
Oversees all LCR field personnel of approximately 3 crews -15 men. Assists Field Supervisor In
project scheduling, equipment maintaence, supplier vendor accounts, employee relations,
Liason between clientle and employees. Oversees product handling, employee travel
accomodations, equipment and employee jobsite delivery, quality control, &jobsite safety.
Controls costs Including gas, travel fees, equipment repairs, vendor accounts, & supplies.
Responsible for employee morale and jobsite professionalism.
Bilingual in Spanish. Expertise In coating application and concrete rehab with 20-+ eperience.
Superintendent - (1997 July 2010) F&L Concrete Services, Inc., Houston and Austin, TX
Oversees all field and sales operations forthe Austin Coating Division.
Manages labor personnel, field operations, safety guidelines, equipment
maintenance, and client relations. Experience for over 20 years in the concrete rehab and
coating industry. My expertise expands from concrete rehab, shotcrete, water control,
surface preparation, confined space, to specializing in epoxy coatings including those
manufactured by Raven Lining Systems. Travels extensively In various central regions of
the United States including Texas, Colorado, Oklahoma, Arkansas, and California.
Superintendent - (1986-19%) Epoxy Design Systems, Inc. Houston, TX
SupeMsed work crew of 6-8 employees. Applied epoxys and urethane grouts, rehabilitated
parking garages, water towers, piers, and wharfs. Traveled extensively throughout the US
during employment.
Education
Confined Space Training - CSHI
!an 14, 2008
Respirator Fit Testing- CSHI
Jun 16, 2008
Re5plratorClassroom Training -CSHI
Jun 16,2008
CPR training - CSHI
May 30, 2008
Confined Space Training - Lauderdale
March 1, 2010
Lewis Concrete Restoration
Statement of Qualifications
'team Member: Eric Lewis
Experience/Qualifications
General Manager - July 2010 - current Lewis Concrete Restoration, Buda,TX
Oversees Projects within Central Texas: manages field personnel, safety guidellnes, equipment
maintanence, and jobsite client relations. Estimates and Bids upcoming projects. Maintains product
Inventory, ordering, and usage for coating and rehab market. Assists Management in submittal process
for bidding/estimating, Travels extensively throughout state of Texas for sanitary sewer projects.
President/Co-Founder- (1996-July 16, 2010) F&L Concrete Services, Inc., Houston and Austin, TX
Project Manager
oversees all field and sales operations for the Austin Coating Division throughout the US and
Nassau, Bahamas. Manages labor personnel, field operations, safety guidelines, equipment
maintenance, and client relations_ Analyzes corporate financials, budgets, and profltability for
both the Houston and Austin coating markets as well as Corporate overall profitablity. Experi-
ence for over 20 yrs in the construction and concrete rehab industries. My expertise expands from
concrete rehab, shotcrete, water control, surface preparatlon, confined space, to specializing in
epoxy coatings including those manufactured by Raven Lining Systems. Experience in applying
wet/dry process since 1991. Recently completed City of Austin Govalle Tunnel Shafts and
Laterals Rehab (12/15/08).
Project Superintendent - (1990-1996) Epoxy Design Systems, Inc. Houston, TX
Supervised work crew of 4-8 employees. Applied epoxys and urethane grouts, rehabilitated
parking garages, water towers, piers, and wharfs. Traveled extensively throughout the US and abroad
during employment. Supervised oversea projects such as Diego Garcia's Oil Burn Rehab
($350,000) and Cologne, Panama's Texas Oil Refinery Rehab Project ($700,000).
Education
Confined Space Training - CSHI Jan 14, 2008
Respirator Fit Testing- CSHI Jun 16, 2008
Respirator Classroom Training - CSHI Jun 16, 2008
CPR training - CSHI May 30, 2008
Confined Space Training- Lauderdale Environ March 1,2010
SHERRY L. LEWIS
405 Ware Dr . Buda, TX 78610. 512-983-3283 . sherrylewis a@austin rr.com
3
Founder of Lewis Concrete Restoration Company in April 2010. I have over 20 years experience in the
accounting/finance/management field and 14 years experience in the specialty coating/construction field. I
hold a BA in Accounting degree from Texas A&M class of 1990. Duties include: overseeing all corporate
functions including: corporate profitability, legal issues including litigation, federal and state filings, project
certifications, financing of daily operations and equipment, direct Field Management Teams including
Supervisors and Managers, estimating projects using Virtual Builders Exchange online software, project
scheduling with clients and field personnel, coordinate client requests including submittals, jobsite quality
control, oversee equipment maintenance expenses and maintenance scheduling, maintain material and field
supply inventory usage and ordering, maintain vendor and client relations, handle all medical and dental and
commercial insurance, maintain field safety guidelines. Travel throughout the Texas area working with client
relations, jobsite safety, material usage and inventory control, and jobsite application of cement/coating
procedures from North to South Texas including Lubbock, Fort Worth, Dallas to San Antonio, Laredo,
Brownsville, and Valley areas_ Management of field operations from management of costs to safety and
application procedure of Raven Lining Systems — worked on $1.6 mill City of Austin Montopolis Shafts and
Laterals Rehab project in 2008.
Possess advanced computer skills in MS Office Suite, Quickbooks Pro2010, Adobe 9, and Virtual Builders
Exchange and McGraw Hill online software applications as wells as maintaining desktop and server
computer systems for remote users.
Key W1j h _
Office Management
Teambuilding & Supervision
Staff Development & Training
Office Policies & Procedures
Manuals
Corporate Profit/Loss
Corporate Asset Finance
Field Safety Manuals
Medical Benefits Administer
Report & Document Preparation
Spreadsheet & Database Creation
Accounts Payable/Receivable
Bookkeeping & Payroll
Litigation Research
Corporate Tax Filings
Field Safety Procedures
Bidding and Estimating
Corporate Insurance Administer
Records Management
Meeting & Event Planning
Inventory Management
Expense Reduction
BR State Filings and Procedures
Municipal Filing Requirements
Project Cost Accounting
Project Scheduling
Direct Field Operations
F&L Concrete Services, Inc. Austin, TX 1996 to 7/15/2010
Executive Assistant/Off ice Manager 1998 -- 711512010
Duties: Daily accounting functions including accounts receivable, payables, payroll, taxes, corporate budget
reporting, project estimating, project scheduling, project cost accounting, insurance administration,
corporate financing, computer system maintenance, software maintenance, corporate and field policies,
human resource policies and filings, litigation support, and assist in the on -going development of field
safety procedures for Company manual and municipals. Worked extensively on City of Austin
Montoplis Project in 2008 $1.6 mill project as a liason between client, vendors, and field personnel.
Maintained safety materials, safety meetings, jobsite material usage, and personnel/material preparation
at jobsite trailer daily.
Decreased corporate expenditures 50% by implementing needed controls on: stock/supplies, vendor account
controls, on -time payment procedures, re -organizing office personnel and division duties, set up division
accounting by class to track expenses by Departments and standardized field procedures for estimating
and field expenses. Decreased expenses resulted in reported net corporate profits within a 3 year history.
Implemented and coordinated installation of corporate software and remote access to facilitate
communication and information sharing for Austin and Houston offices resulting in ability for multiple
users for accounting systems and real time data.
Co-founder and Shareholder from 1996 - 1998.
1993-1996
Sonat, Inc. Houston, TX
StaffAccountant
Recorded gas sales revenues of approx. 2 million monthly. Responsible for gross sales analysis, accounts
receivable, intra office correspondence for transportation costs, and production volume variances. Developed
procedures for transportation costs system tracking and reconciliation of $1 million vendor accounts resulting in
decreased backlog and a $5,000 monthly savings. Corresponded interoffice booking transportation cost
procedures for mainframe and desktop ledgers. Reported monthly variances for accounts receivable, gross sales,
and costs to management.
Promoted to Systems -gas revenue receipts in 1995. Analyzed daily cash receipt to system downloads utilizing a
$100,000 software system. Communicated errors and corresponded with the Systems IS departrncnt for
department benefit of software use resulting in re -consideration of future software upgrades and use. Analyzed
report and system errors with colleagues in the gas revenue department, communicated unresolved issues with
management and Systems IS Department.
Edu_cata.:..:.....:: .
1990 Bachelor of BA Texas A&M, College Station, TX 1988-1990
School of Business Stephen F. Austin, Nacogdoches, TX 1986-1988
1986 Graduate Lamar High School, Arlington, TX 1983-1986
Central Texas Girl Scouts of America Member- 2006 -current. Actively involved in Girl Scouts projects
such as cookie sales mentor and sponsor for 6 years.
Community projects include: Santa Helpers for San Marcos, Backpack for Kids in 2008-2009, Cookie Pac
Operation for Military 2009-2010, Brownie Bronze Award 2009 -- Rose Garden project for Elm Grove
Elementary, Buda, TX.
Managed a rose garden project for all students to use - assisted in planning, fundraising through corporate
sponsors, donations, planting, and on -going maintenance.
Founded "Angels in the Hill Country" in 2009 -- a non -for profit organization helping families in need.
Provided a family who lost all personal items in a home fire with clothing, toys, and household items
collected from members of the Buda community. With the assistance of my girl scout children, I created
flyers and distributed them to local area schools and online district schools. I corresponded with families to
collect, clean, pack, and distribute donated items to the family.
5. Trade Secrets and/or Confidential Information
Trade Secrets and/or Confidential Information: This bid _ (does) x (does not) contain trade secrets
and/or confidential information. If applicable, describe such trade secrets and confidential information,
and the basis for your assertion that such material qualifies for legal protection from disclosure.
6. Federal, State and/or Local Identification Information
A. Centralized Master Bidders List registration number:
#5452
B. Prime contractor HUB /MWBEregistration number: 1272849234400
C. An individual Bidder acting as a sole proprietor must also enter the Bidder's Social Security
Number: # n/ a
7. Cooperative Governmental Purchasing Notice
Other governmental entities maintaining interlocal agreements with the City, may desire, but are not
obligated, to purchase goods and services defined in this RFB from the successful Bidder. All
purchases by governmental entities, other than the City, will be billed directly to and paid by that
governmental entity. The City will not be responsible for another governmental entity's debts. Each
governmental entity will place their own orders with the successful Bidder and be responsible for
ensuring full compliance with the RFB specifications. Prior to other governmental entities placing
orders, the City will notify the successful Bidder of their intent.
Please indicate below if you will permit other governmental entities to purchase from your agreement
with the City.
[ x] Yes, Others can purchase; [ ] No, Only the City can purchase.
S. Term of Contract and Option to Extend:
Any contract resulting from this RFB shall be effective for twelve months from date of award. The
City anticipates that contract shall he renewed pursuant to the availability of funds and at the
discretion of the City. The following clauses shall he included in the contract:
A. Qption Clause: It is agreed that City will have the option to extend the contract for up to four (4)
additional years, in one-year intervals. To exercise this option, the City shall serve notice 30 days
prior to contract termination or to the end of any one-year extension. The Option to Extend will not
be considered if funding is unavailable or if the contractor's past performance is not within the
industry standard.
B. Escalation Clause: Should market conditions prevail which dictate an increase, the successful
contractor may submit documentation requesting permission to increase pricing no later than 30
days after receiving notice from the City of its intent to emend the agreement. Escalation may only
occur at the time of renewal and only upon securing the approval of the City in writing. Requests
for price adjustments must be solely for the purpose of accommodating an increase in the
contractor's cost, not profits.
Vendors shall show in this quote their anticipated percent of escalation if/when the option to
extend is exercised. The percent quoted will be a maximum_ In addition, the percentage proposed
will be a factor in determining the best value to the City. It is the average price over the period of
the contract that will be the price factor considered in the evaluation of this quote. Quotes in which
negative or no escalation is shown will be considered as 0% escalation.
City of Southlake - RFB1I0511420HI I0016 - Page 11 of 18
C. Price Increases Upon Extension: If approved by the City, the Contractor shall modify the rates
charged by the Contractor to reflect any changes shown in the comparative statement delivered to
the City. The maximum increase allowed under this provision shall be four percent (4%) per year.
The City shall have authority, in its reasonable discretion, to determine the validity of any change
in Contractor's rates. City cannot exercise the Option to Extend with any price increases unless the
Vendor completes the section of the Quote requesting anticipated percentage of annual escalation.
FIRST ADDITIONAL YEAR (FY 11-12) ESCALATION ........................... 5 %
SECOND ADDITIONAL YEAR (FY 12-13) ESCALATION ................. 2.50%
THIRD ADDITIONAL YEAR (FY 13-14) ESCALATION ......................... 1.5 %
FOURTH ADDITIONAL YEAR (FY 14.15) ESCALATION ......................... 1. 5 %
11. CONTRACT TERMS AND CONDITIONS. EXCEPT WHERE BIDDER MAKES SPECIFIC
EXCEPTION IN THE SUBMITTED BID, ANY CONTRACT RESULTING FROM THIS RFB
WILL CONTAIN THE FOLLOWING TERMS AND CONDITIONS, WHICH BIDDER HEREBY
A%NOWLEDGES, AND TO WHICH BIDDER AGREES BY SUBMITTING A BID:
1. Delivery of Products and/or Services
A. Payment Terms: Unless otherwise specified in the Scope of Services or otherwise agreed to in
writing by the City, payment terms for the City are Net 30 days upon receipt of invoice.
B. Yam an of Products and Services: All products furnished under this contract shall be warranted to
be merchantable and good quality and fit for the purposes intended as described in this Bid, to the
satisfaction of City and in accordance with the specifications, terms, and conditions of the Scope of
Services, and all services performed shall be warranted to be of a good and workmanlike quality,
in addition to, and not in lieu of, any other express written warranties provided. see attached
warranty Reference Sec D
C. UW-DeRwry or Performan e: If Bidder fails to deliver acceptable goods or services within the
timeframes established in the Project Schedule, the City shall be authorized to purchase the goods
or services from another source and assess any increase in costs to the defaulting Bidder, who
agrees to pay such costs within ten days of invoice.
D. FOB (delivery charges): All products offered shall be FOB final destination, with all delivery
charges to be prepaid by the Bidder. The City does not accept C.O.D. or collect shipments. The
contract price shall include all charges, including delivery, installation and set-up fees. All
packing, crating, or other debris resulting from the delivery or set-up of the commodity purchased
shall be removed and properly disposed by the successful Bidder at no additional cost to the City.
E. Excess or Incorrect Commodities: Products or materials delivered in error or in excess of the
quantity ordered shall be returned at the successful Bidder's expense, unless otherwise agreed to in
writing by the City.
F. Title to Goods and Risk of Loss: For goods to be provided by Bidders hereunder, if any, the title
and risk of loss of the goods shall not pass to City until City actually receives, takes possession,
and accepts the goods and the installation of such goods, has tested the system, and determined that
it is in good and acceptable working order.
City of Soulhlake - RFBI IOSB420JT110016 - Page 12 of 18
Reference Section D
LIMITED WARRANTY
62A
�.r
For the Project: City of Southlake — Sewer Manhole and Wet Well Rehab
Certified Applicator performing install: Lewis Concrete Restoration
Manufacturer of Coating Product installed: Raven Lining Systems
Raven Lining Systems, ("RLS") warrants its products to be free of manufacturing
defects and that they will meet RLS's current published physical properties, when
applied in accordance with RLS's directions and tested in accordance with ASTM and
RLS standards. RLS must receive written notice of any defects within thirty (30) days of
the discovery of the defect and within one (1) years of the original installation date
(shown below) by the listed Raven Certified Applicator. If, within one (t) years from
installation, any product does not meet the physical properties or is defective in
manufacture, RLS, at its sole option, will either replace the defective product or refund
the purchase price.
This warranty does not include exposure to conditions other than as designed and
represented as suitable within RLS written documentation, nor failure due to physical
damage, improper maintenance or care by the owner.
THE AFORESAID IS THE EXCLUSIVE WARRANTY AND IS IN LIEU OF ALL OTHER
WARRANTIES, EXPRESS OR IMPLIED. THERE IS NO WARRANTY OF
MERCHANTABILITY OR FITNESS FOR ANY PARTICULAR PURPOSE. UNDER NO
CIRCUMSTANCES SHALL RLS BE LIABLE FOR INCIDENTAL OR
CONSEQUENTIAL DAMAGES OR FOR LOST PROFITS. NO ACTION AGAINST
RLS MAY BE COMMENCED MORE THAN ONE (1) YEAR AFTER THE CLAIM
ARISES.
The warranty is expressly for the subject project and material specified below and is null
and void with respects to any other intended, contingent or actual application of RLS
products.
Dated: 711812011
Installation Date:
Product Used:
Gallons Installed:
Confirmed by: of RLS
Raven Lining Systems Lewis Concrete Restoration
BY: Jim Henke
By: Shore y Lawis
Signature: Signature:
Title: V. P. Sales & Marketing Title: President
13105 East 61" Street, Suite A Broken Arrow, OK 74012 800-324.2810 913-615-4020 Fax 918.615.0140
www.ravenlining.com
2. Miscellaneous
A. Independent Contractor: Bidder agrees that Bidder and Bidder's employees and agents have no
employer -employee relationship with City. Bidder agrees that if Bidder is selected and awarded a
contract, City shall not be responsible for the Federal Insurance Contribution Act (FICA)
payments, Federal or State unemployment taxes, income tax withholding, Workers Compensation
Insurance payments, or any other insurance payments, nor will City furnish any medical or
retirement benefits or any paid vacation or sick leave.
B. A is�n gents: The rights and duties awarded the successful Bidder shall not be assigned to another
without the written consent of the Purchasing Manager. Such consent shall not relieve the assigner
of liability in the event of default by the assignee.
C. Liens: Bidder shall indemnify and save harmless the City against any and all liens and
encumbrances for all labor, goods, and services which may be provided to the City by Bidder or
Bidder's vendor(s), and if the City requests, a proper release of all liens or satisfactory evidence of
freedom from liens shall be delivered to the City.
D. Gratuities / Bribes: Bidder certifies that no bribes in the form of entertainment, gifts, or otherwise,
were offered or given by the successful Bidder, or its agent or representative, to any City officer,
employee or elected representative, with respect to this RFB or any contract with the City, and that
if any such bribe is found to have been made this shall be grounds for voiding of the contract
E. Financial Participation: Bidder certifies that it has not received compensation from the City to
participate in preparing the specifications or RFB on which the Bid is based and acknowledges that
this contract may be terminated and/or payment withheld if Us certification is inaccurate.
F. Required Licenses: Bidder certifies that he holds all licenses required by the State of Texas for a
provider of the goods and/or services described by the Scope of Services herein.
G. Authority to Submit Bid and Enter Contract: The person signing on behalf of Bidder certifies that
the signer has authority to submit the Bid on behalf of the Bidder and to bind the Bidder to any
resulting contract.
R Compliance with Applicable Law: Bidder agrees that the contract will be subject to, and Bidder
will strictly comply with, all applicable federal, state, and local laws, ordinances, rules, and
regulations.
3. Financial Responsibility Provisions _ see attached certificate
A. Insurance: The Bidder, consistent with its status as an independent contractor, shall carry, and shall
require any of its subcontractors to carry, at feast the following insurance in such form, with such
companies, and in such amounts (unless otherwise specified) as City may require:
i. Worker's Compensation and Employer's Liability insurance, including All States
Endorsement, to the extent required by federal law and complying with the laws of the
State of Texas;
ii. Commercial General Liability insurance, including Blanket Contractual Liability, Broad
Form Property Damage, Personal Injury, Completed Operations/Products Liability,
Premises Liability, Medical Payments, Interest of Employees as additional insureds, and
Broad Form General Liability Endorsements, for at least One Million Dollars ($1,000,000)
Combined Single Limit Bodily Injury and Property Damage on an occurrence basis;
iii. Comprehensive Automobile Liability insurance covering all owned, non -owned or hired
automobiles to be used by the Contractor, with coverage for at least One Million Dollars
($1,000,000) Combined Single Limit Bodily Injury and Property Damage.
City ofSout&lake - RFH1105M20, T110016 - Page 13 of 18
B. Indemnification: Bidder agrees to defend, indemnify and hold harmless the City, all of its
officers, Council members, agents and employees from and against all claims, actions, suits,
demands, proceedings, costs, damages and liabilities, including reasonable attorneys' fees,
court costs and related expenses, arising out of, connected with, or resulting from any acts or
omissions of Bidder or any agent, employee, subcontractor, or supplier of Bidder in the
execution or performance of this contract without regard to whether such persons are under
the direction of City agents or employees.
The Bidder agrees to protect and indemnify the City, all of Its officers, Council members,
agents and employees, from all claims, actions, suits, demands, proceedings, costs, damages
and liabilities, including reasonable attorneys' fees, court costs and related expenses, arising
out of any alleged infringement of patents or copyrights arising from the Contractor's
performance under the Contractor's Bid, including attorneys' fees and court costs.
C. Indemnify for Intellectual Property: Bidder hereby warrants that the use or sale of the products,
materials and services delivered hereunder will not infringe on the rights of any trade secrets,
patent, copyright, registered trademark, or other intellectual property by right covering such
materials and the successful Bidder agrees to indemnify and hold harmless the City for any and all
costs, expenses, judgments, and damages which the City may have to pay or incur.
City ofSouthlake - M1105R420T110016 - Page 14 of 18
to terms available to the public; a payment for food, lodging, transportation or entrft&m emt; or
a transaction subject to rate or fee regulation by a govmmental entity or agency.
WHAT: A person or Wimesa that contracts with the City or who aebks to contract with the City
must file a "conflict of interest questionnaire" (FORM CIQ) which is available online at
www.ethics.etate.tx.us and a copy of which is attached to this Guideline, The forth contains
mandatory disclosures regarding "emplayment or business relationships" with a municipal
officer. Officials may be asked to clarify or interpret various portions of the questionnaire.
Wii N. The person or business must file:
1. the questionnaire no later than seven days after the date the person or business begins
contract diseumions or negotiations with the municipality, or submits an application, responds to
a request for proposals or bids, correspondence, or other writing related to a potential contract or
agreement with the Cite; and
2. an updated question are within seven days after the date of an event that would make a
filed questionnaire incomplete or inaccurate.
It does not matter if the submittal of a bid or proposal results in a contract, The stau to
requires a vendor to file a FORM CIQ at the time a proposal is submitted or negotiations
commcnea.
WHFM. Tire vendor or potential vendor must mail or deliver a compkted questionnaire to the
Finance Department. The Finance Depsrhnmvf is required by law to pose eke statements on the
CYfy's internee website.
ENFORCEMENT: l ailumto file a questionnaire is a class c n&demeaaor punishable by a foe
not to exceed $500. It is an exception to proseeution that the person flex a FORM CIQ not later
than seven business days after the person received notice of a violation.
NOTE: Tha City does not have a ditty to ensure that a person files a conflict of interest
questionnaim
w:tis .taar t76.ns,,r.-.raQe9 soum
City of Southlake - RFB1105B420JT110016 - Page 16 of 18
CONFLICT OF INTEREST QUESTIONNAIRE FORM CIQ
For vendor or other person doing business with local governmental entity
This questionnaire reflects changes made to the law by H.B. 1491, 80th Leg., Regular Sesslon.
OFFICEUSI:ONLY
This questionnaire Is being tiled In accordance with Chapter 176, Local Government Code
Date Rsceivad
by a person who has a business relationship as defined by Section 176.001(1-a) with a local
governmental entity and the person meets requirements under Section 176.006(a),
By law this questionnaire must be filed with the records administrator ofthe local governmental
entity not later than the 7th business day after the date the person becomes aware of facts
that require the statement to be filed. See Section 176.006, Local Government Code.
A person commits an offense if the person knowingly violates Section 176.006, Local
Government Code. An offense tinder this section is a Class C misdemeanor.
t Name of person who has a business relationship with local governmental entity.
None
z ❑Check this box if you are filing an upstate to a previously filed questionnaire.
(The law requires that you file an updated completed questionnaire with the appropriate filing authority not
later than the 7th business day after the date the originally filed questionnaire becomes Incomplete or inaccurate.)
3
Name of local government officer with whore filer has employment or business relationship.
None
Name of Officer
This section (item 3 including subparts A, S. C & D) must be completed for each officer with whom the filer has an
employment or other business relationship as defined by Section 176.001(1-a), Local Government Code. Attach additional
pages to this Form CIQ as necessary.
A. Is the local government officer named in this section receiving or likely to receive taxable income, other than investment
income, from the filer of the questionnaire?
Yes Fv(] No
B. Is the filer of the questionnaire receiving or likely to receive taxable Income, other than investment income, from or at the
direction of the local government officer named in this section AND the taxable income is not received from the local
governmental entity?
ElYes FVI No
C. Is the filer of this questionnaire employed by a corporation or other business entity with respect to which the local
government officer serves as an officer or director, or holds an ownership of 10 percent or more?
FlYes 77No
D. Describe each employment or business relationship with the local government officer named in this section.
4 a'7d'hbrshany�
Sherry L Lewis
o Pm0i1.06oz:m�a-Mron.Tune 20, 2011
Signature of person doing business with the governmental entity Date
Adopted 0612912007
Appendix D — No Intent to Submit Form
If your firm has chosen not to submit a bid for this procurement, please complete this form and
submit to:
City of Southlake
Purchasing Division, Department of Finance
1400 Main Street, Suite #440
Southlake, Texas 76092
Please check all items that apply:
❑ Do not sell the item(s) required ❑ Cannot provide Insurance required
❑ Cannot be competitive p El Cannot provide Bonding required
❑ Cannot meet specifications highlighted in the attached ❑ Cannot comply with Indemnification
request requirement
❑ Job too large ❑ Job too small
❑ Do not wish to do business with the City of Southlake ❑ Other:
COMPANY NAME (PIease print):
Authorized Officer Name (please print):
Telephone: (___)
Fax: (
City ofSouthlake - RFBI I OSB420JT11OD16 - Page 18 of 18
Lewis Concrete Restoration
Manhole Inspection Report
MANHOLE NUMBER: DATE:
DEPTH TO INVERT: TYPE CONSTRUCTION:
STREET REFERENCES:
INSPECTED BY:
SIZE: IN.
DEPTH: IN. •- -
SIZE: IN.
III SIZE: IN. SIZE: IN. I DEPTH: IN.�SlZ
SIZE: IN,
Jan-09
INSPECTION HISTORY
R Ven::Coa d Martwe:
DEPTH: IN.,-" SIZE: IN.
2. THERE ARE NO OTHER CHANGES.
Sharon lacks
Director of Finance
City of Soutblake
IN THE SUBMISSION OF DID, BIDDER MUST ACKNOWLEDGE RECEIPT OF THIS ADDENDUM.
BIDDER SHAD. ACKNOWLEDGE THIS ADDENDUM BY SIGNING AND RETURNING ONE COPY OF
THIS NOTICE WITH THISIR BID.
A—
SIGNED: DATED:-0 J.v d
r
COWANY NAME:
c�yo�s«,r a� • t • reap Mato SUW sine 440 • s0ahke, Texas 7W2
V7.7488312
An EMPNvmstW P&on lnMMMn
REFERENCE SECTION A
TO WHOM IT MAY CONCERN:
THIS LETTER VERIFIES THAT LEWIS CONCRETE RESTORATION, IS A
CERTIFIED QUADEX APPLICATOR.
THEIR PERSONNEL HAVE BEEN TRAINED BY A FACTORY REPRESENTATIVE
AND ARE QUALIFIED TO APPLY THE QUADEX PRODUCT.
THEIR EQUIPMENT EXCEEDS THE STANDARDS REQUIRED FOR PROPER
APPLICATION OF THE QUADEX PRODUCTS.
IF ANY ADDITIONAL INFORMATION IS REQUIRED, OR IF YOU HAVE ANY
QUESTIONS, PLEASE CONTACT ME AT 501-758-8628 OR 501-772-5244.
Sam Wisener
Quadex Inc,
www. quadexonline. com
Southeastern U.S. Regional Manager
Office 501-758-8628
Mobile 501-772-5244
swisencr uadexonline.com
QUADEX
RSATIpNDS
DESCRIPTION:
Quadex Quad -Plug is a blend of special cements
and admixtures which are designed to instantly
stop running water or seepage in all types of
concrete and masonry structures.
RECOMMENDED FOR:
Sewer Pipes and Manholes
Concrete Tanks
Elevator Pits
Cisterns
Basements
Concrete & Masonry Wails
FEATURES AND BENEFITS:
Stops running water immedlateiy
Non -Shrink, expands as it sets
Contains no calcium chloride
Non -Metal Ilc
Sulfate resistant
Easily applied
No Mixing
TYPICAL PERFORMANCE DATA:
Compressive Strength
STRENGTH —PSI (MPa)
(ASTM C109)
30 min. 1850 psi
28-day 5800 psi
>9000
Bond Strength
(ASTM C321)
30 min. 50 psi
1 day 85 psi
QUADEX
QUAD -PLUG
PAST SETTING
CEMENT177OUS WATERSTOP
IM
PACKAGING;
YIELD:
Quadex Quad -Plug is supplled in a 50 1b. plastic
pail_
Quadex Quad -Plug will yield approximately .45 cu. ft.
(787 cu. In.) per pail.
APPI..ICATION INFORMATION:
TO SEAL RUNNING WATER OR LEAKS:
Prepare crack or hole by chipping out loose material to a
minimum depth and width of 3 14 '. Using a rubber
gloved hand, place a generous amount of dry Quadex
Quad -Plug with a smooth fast mollon to active leak,
malntaining external pressure for 30 seconds. Repeat
until leak stops.
WARRANTY;
Quadex warrants Its products to be free of defects in
material and workmanship. Quadex will replace any
product proved to be defective when applied in
accordance with manufacturer's instructions. Quadex's
obligation shall be limited solely to such replacement
There are no other warranties by Quadex expressed or
implied.
PRECAUTIONS:
Avoid eye contact or prolonged contact with skin.
Wash thoroughly after use. Persons using Quadex
Quad -Plug should wear necessary eye protection, dusk
mask and rubber gloves. Read all product labels and
technical literature.
4801 Crystal Hill Road 0 North Little Rock, AR 72118 0 Phone: (601) 758-8628 ❑ Toll Free:1886) 831-1650 ❑ FA}(: (501) 768-3814
QUADEX
SEINER REHABILITATION PRODUCTS
DESCRIPTION:
Quadex Hyperform is a one component, rapid
setting, high early strength patching material designed
for repairing vertical and horizontal concrete and
masonry structures.
RECOMMENDED FOR:
Filling large voids in manhole wails
Reconstructing inverts
Catch basin and concrete repair
Pipe repair
FEATURES AND BENEFITS:
Rapid -setting
High early and ultimate strengths
Non -Shrinking
No Calcium Chloride
Ready to use, just add water
Excellent resistant to freeze thaw
TYPICAL PERFORMANCE DATA:
Compressive Strength PSI
Testing Method (ASTbA C109)
1 hour 4170 psi
28 day 7000 psi
Flexural Strength PSI
28 day 1110 psi
Freeze -Thaw Durability
Testing Method (ASTMI C666)
No visible damage after 30D cycles
Setting Times
Testing Method Gillmore ASTM 266
Initial Set 15-18 minutes
Final Set 22-25 minutes
QUADEX
HYPERFORM
RAPID SETTING
HIGH EARLY STRENGTH PATCHING MATERIAL
PACKAGING:
YIELD:
Quadex Hyperform Is supplied In 60 ib.
(27 kg.) poly -lined bags.
One 60-Ib. bag of Quadex Hyperform will yield
approximately .50 cu. ft. V87 cu. in.)
APPLICATION INFORMATION:
Prepare surface to be patched by removing all loose
concrete by using an air or electric hammer. Next,
sandblast or water blast surface to clean away all
contaminants, such as oil, chemicals, or dust Then
alrblast with oil -free compressed air to remove all water
or loose sand.
Mix Quadex Hyperform with clean potable water at a
rate of 1.0 gallon per 60 pound bag. If needed,
Hyperform can be extended with 318 ' aggregate at a
rate of 25 pounds per bag.
WARRANTY:
Quadex warrants its products to be free of defects in
material and workmanship. Quadex will replace any
product proved to be defective when applied in
accordance with manufacturers instructions. Quadex's
obligation shall be limited solely to such replacement.
There are no other warranties by Quadex expressed or
implied.
PRECAUTIONS:
Avoid eye contact or prolonged contact with skin. Wash
thoroughly after use. Persons using Quadex Hyperform
should wear necessary eye protection, dust mask and
rubber gloves. Read all product labels and technical
literature
4801 Crystal Hill Road t7 North Little Rock, AR 72118 0 Phone., (501) 758-H28 ❑ Toll Free: (883) 831-1650 ❑ FAX: (501) 758-3814
qyADE
rsil.lrA71WD1 RRpi7- tlGtg
DESCRIPTION:
Quadex OM -is Restore is a factory blended, one
component, high strength cement based, polypropylene
fiber reinforced, shrinkage wmpcnsatw mortar
enhanced with a monocrystallina quartz aggregate
(Granusin. It Is specifically designed for placement by
iow pressure spraying of mortar for the repair of concrete
and masonry structures. This unique formulation allows
for a monolithic one -pass application up to three Inches in
thickness by fay pressure spraying,
RECOMMENDED FOR:
vertical and overhead repairs to concrete or masonry
sewer manholes, wetwells, pipe, water treatment
facilities, tunnels, navigation locks, and dams.
FEATURES AND BENEFITS:
Quality controlled one -component blend for uniform
results.
High early and ultimate
bond strengths.
Resistant to sulfate attack,
Extremely low permeability.
compressive, flexural and
TYPICAL PERFORMANCE DATA:
Compressive
STRENGTH — PSI (MPa)
Strength
28 Day
(ASTM Clog)
>10,0oo
Flexural
Strength
(ASTM C 293)
>1400
Bond
Strength
(ASTM C 321)
Brick Failed Before Bond
Freeze -Thaw
(ASTM C666) No visible damage after 300 cycles
Q UAD EX
QM-1S RESTORE
iFACTORY ELENDED, ONLY COMPON5NT
HIGH STRENGTH CEMENT BASED MORTAR
PACKAGING:
Quadex QM-1a Restore Is supplied in 60 fb.
(27 kg.) poly -lined bags.
YIELD:
One 61>4b, bag of Quadex OM -le Restore will yield
approximately .54 cu. ft. and will cover 12.5 sq. ft. at a
1 / 2 inch thickness.
PROCEDURE;
Prepare surface to be patched by removing unsound
concrete, dirt dust, oft and other debris using high
Pressure (3500 PSI) water blasting. Air blast excess
water with an oil free air compressor. This will provide a
clean, damp surface to allow for a good bond.
Use approximately 0.9 to 1.1 gallons of potable water per
60 lb. bag of Quadex QM4e Restore First add water to
mixer, start mixer to mixing and add Quadox am -is
Restore until mortar is completely mixed.
Apply Quadex QM -Is Restore by low pressure spraying
on vertical or overhead surfaces to a monolithic thickness
Of 112 to 3 inches in one pass, trowel to smooth surface.
CURING:
Cure in accordance with Current ACI recommendations.
Use a two coat application of a manufacturer approved
water based curing compound.
WARRANTY:
Quadex warrants its products to be free of defects
in material and workmanship. Quadex will replare any
Product proved to ba defective when applied in
accordance with manufacturer's instructions. Quadex's
Obligation shalt be limited solely to such replacement,
There are no other warrantlos by Quadex expressed or
implied.
Perneabiflty
(AASHTO T-277) 350 Coulombs PRECAUTIONS:
Density 132 +1- 5 PCF Avoid eye contact or prolonged contact with skin. Wash
thoroughly after use, Persons using Quadex QNt-19
Shrinkage Restore should wear necessary eye protection, dusk
(ASTM C586) 09'0 ®28 days mask and rubber gloves. Read all product labels and
technical literature
4801 Crystal Hill Road 0 North Little Rack, AR 72118 0 Phone: (601) 75"628 0 Tali Free: (888) 831.1650 ❑ FAX: 001) 758-3814
.Inc..
CC _mldex '
R, I d4
72118
To I
CrUlAd F.6k. (5
MATERIAL SAFETY DATA SHEET
PRODUCT: ADEX'QM-1SAEST0RE
1151
CornmCM.Narnes
AC011-1 TLV
Boiling Point: NA
Spqcfflc'Grav1t)r, 2.9-
Porflan d. Cement
-1 o Mg/W
Vapor Pressurei NA.
Melting.Point NA
Admixtures
10 -mgm
Vapor Darkslbr NA
Evaporation Rate: NA
Nephell6eSyrilte
10 mg/m,
Solubility In Water: 75%
Polypropylene.
.10 mg/M3
Appearance and Odor Grey and Odorless
Flqsh Point: NA
Stability. Stable
Special Fire Fighting Procedures.
Combustible Material
Conditions, to Avoid: Although oo:hazardous reaction
-Will occur; productshould. be. keptdry..
Extinguishing Media: NA
Hazardous De roffipositloh or. Byproducts-, None
Usual Fire 6ndEkplosioh.,Hazards: None
Hanrdous Polymerizatl6n: VAII not occur
Routes of Entry:
7777MTP:
r
Inhalation: Yes
k 0: Yes
71AR
Ingestion. Yes
I es f
Carol nogehicity:
No
C Monbljraphs�, No
OSHA R6g.ulat=ed-:Wo7
Signs and..Syrrijitorris of Exposure:. May cause skin rjjrrlwflon, eyp irritation and respiratory htafion-
Medical Conditions Generally Aggravated by Exposure: May aggravate existing oya,:'lung, and akin conditions.
EiTw9ency and Flmt Ald Procedures;: Rinse qes.•with clean water and wash affected skin with soap anal water.
Steps to Be Taken In Cdae Material 16 Rels"ed.or Spilled; Dispose Into labeled Waste container
for -reuse or disposal. Wear adequate protective clothing and equipment Area . ma. y be was hed down with, water,
Waste Disposal Method: Dlsoose In sanitary. landflll In accortfance.*Ith federal, state and local regulations.
Precatiflons-to'be'Taken in Handling and Storikig: 8toreirt dry:placefand keep sealed until ready -to use.
Other Precautions: None
Respiratory Proteotliqn: Use NIOSH/MESHA approved respirator.
pihator
Ventilation: Local exhaust recommended if necessary. Mecl-Tanical exhaustreo&nmended if necessary.
Protective Gloves: . Rubber
11yoProtectilon: Goggles
Other Protective Clothfng or Eqtilprnent: Standard work clothing and shoes.
WorkfflMe.nic Pract1oas, NA
QUADEX MANHOLE RESTORATION
MATERIALS INSTALLATION SPECIFICATION
For Restoration Using Quadex Cementitious Materials
1.0 GENERAL
1.1 These specifications are Intended to set a standard of quality and design for the
application of all cementilious materials used In the rehabilitation of manholes.
1.2 All materials must be approved by the engineer or owner prior to Job bid.
2.0 DEFINITIONS
2.1 The term 'approved' shall mean that the proposed material shall meet or exceed
each of the performance criteria set forth in this specification. Manufacturers and
vendors of various name brand materials must submit proof that any proposed
material will meet the guidelines and requirements of this specification. The
engineer or owner will make final approval of any proposed material.
3.0 APPROVED MATERIALS
3.1 Infiltration Control
All fast setting materials furnished shall be designed to be applied in dry powder
form, with no prior mixing of water, directly to active leaks under hydrostatic
pressure In manholes or related structures. Materials shall consist of rapid
setting cements, siliclous aggregates, and various accelerating agents. Material
shall not contain chlorides or metallic particles. Approved infiltration control
material shall be Quadex Quad -Plug as manufactured by Quadex, inc.,
Maumelle, Arkansas.
3.1.1 Specifications: Infiltration Control Materials
A. Compressive Strength (ASTM C109)
30 mins: 1850 psl
3 days: 4000 psi
7 days: 5000 psi
28 days: 5890 psi
B. Bond Strength (ASTM C321)
30 ruin: 50 psi
1 day: 85 psi
C. Set Time 30 seconds
32 invert Repair and Patching
All material fumished shall be designed to fill large voids in manhole walls and to
repair or reconstruct inverts where no hydrostatic pressure exists. Material shall
consist of rapid setting cements, monocrystaliine quartz aggregates, and various
accelerating agents. Material shall not contain chlorides or metallic particles.
Approved invert repair and patching material shall be Quadex Hyperform as
manufactured by Quadex, Inc., Maumelle, Arkansas.
3.2.1 Specifications: Repair and Patching Materials
A. Compressive Strength (ASTM C109)
1 hour: 4170 psi
3 hours: 5840 psi
24 hours: 7660 psi
B. Flexural Strength (ASTM CM)
1 hour. 480 psi
3 hours: 625 psi
24 hours: 820 psi
C. Freeze -Thaw (ASTM C666)
300 cycles with no damage
D. Setting Time (Gilmore ASTM C266)
Initial 15-18 minutes
Final 22-25 minutes
3.3 Cementitious Coating (Liner) Materials for Manhole Walls and Benches
All cementitious coating (liner) materials shall be specifically designed for the
rehabilitation of manholes and other related wastewater structures. Liner
materials shall be cement based, poly -fiber reinforced, shrinkage compensated,
and enhanced with chemical admixtures and siliceous aggregates. Liner
materials shall be mixed with water per manufacturer's written specifications and
applied using equipment specifically designed for either low-pressure spray or
centrifugal spin casting application of cement mortars. All cement liner materials
must be capable of a placement thickness of %' to 4" in a one pass monolithic
application.
3.3.1 Specifications: Cementftlous Coating Materials
3.3.2 Physical Properties
All cementitious coating materials shall conform to the following 28-day
minimum physical properties.
A. Compressive Strength (ASTM C109)
9500 psi
B. Flexural Strength (ASTM C293)
1400 psi
C. Bond Strength (ASTM C882)
1500 psi
D. Permeability (AASHTO T-277)
Not to exceed 400 coulombs
E. Freeze -Thaw (ASTIVI C666)
No damage In minimum 300 cycles
F_ Material Wet Density
Minimum 140 PCF
3.3.3 Material Design
All cementitlous coating materials shall be approved for use based upon
the following design conditions.
A, Low to mild hydrogen sulfide environments (pH > 2,0)
Cementitlous coating materials shall be manufactured from Type
II portland cement, and enhanced wfth silica fume. Materials
shall contain poly -fiber reinforcement, chemical admixtures, and
slilceous aggregates. Approved material shall be Quadex QM-
1s Restore as manufactured by Quadex, Inc., Maumelle,
Arkansas.
B. Extremely harsh hydrogen sulfide environments (pH < 2.0)
Cementdious coating materials shall be manufacturer) from
100% pure calcium aluminate cement and enhanced with high-
dens4 chemically stable aggregates. Materials shall contain
poly fiber reinforcement and chemical admixtures. Approved
material shall be Quadex Aluminaliner as manufactured by
Quadex, Inc., Maumelle, Arkansas.
4.0 Interior Manhole Rehabilitation
4.1 Manhole Cleaning and Preparation
The floor and interior walls of the manhole shall be thoroughly cleaned and made
free of all foreign materials including dirt, grit, roots, grease, sludge and all debris
or material that may be attached to the wall or bottom of the manhole.
A. High pressure water blasting with a minimum of 3600 psi shall be used to
clean
Free all foreign material within the manhole.
B_ When grease and oil are present within the manhole, an approved
detergent or muriatic acid shall be used Integrally with the high pressure
cleaning water.
C. All materials resulting from the cleaning of the manhole shall be removed
prior to application of the cement based coating.
ID. All loose or defective brick, grout, ledges, steps and protruding ledges
shall be removed to provide an even surface prior to application of
cement based coating.
4.2 Sealing Active Leaks
The work consists of hand applying a dry quick -setting cementitious mix
designed to Instantly stop manning water or seepage in all types of concrete and
masonry structures. The applicator shall apply material in accordance with
manufacturer's recommendations and following specifications.
A. The area to be repaired must be clean and free of all debris per the
guidelines set forth In section 4.1 Manhole Cleaning and Preparation.
B. Once cleaned, prepare crack or hole by chipping out loose material to a
minimum depth and width of/, inch.
C. With gloved hand, place a generous amount of the dry quick -setting
cementitious material to the active leak, with a smooth fast motion,
maintaining external pressure for 30 seconds, repeat until leak is
stopped.
D. Proper application should not require any special mixing of product or
special curing requirements after application.
4.3 Invert Repair
The work consists of hand mixing and applying a rapid setting, high early
strength, non -shank patching material to fill all large voids and repair Inverts prior
to spray lining of the manhole. For invert repairs, flow must be temporarily
restricted by inflatable or mechanical plugs prior to cleaning.
A. The area to be repaired must be cleaned and free of all debris per the
guidelines set forth in section 4.1 Manhole Cleaning and Preparation.
B. Mix water shall be clean potable water and require no additives or
admixtures for use with cementitious patching materials.
C. Cementitious material shall be mixed In a mortar tub or 5 gallon pail with
water per manufacturers specifications. Material should be mixed in
small quantities, to avoid setting prior to placement in voids or inverts.
D. Once mixed to proper consistency, the materials shall be applied to the
invert or void areas by hand or trowel. In invert applications, care should
be taken to not apply excessive material in the channel, which could
restrict flow. Once applied, materials should be smoothed elther by hand
or trowel In order to facilitate flow.
E. Flows in inverts can be reestablished within 30 minutes of material
placement.
4.4 Application of Cementitious Manhole Liner
The work consists of spray applying and / or centrifugally spin casting a
cementitious based liner to the inside of the existing manhole. The necessary
equipment and application methods to apply the cementitious based liner
materials shall be only as approved by the material manufacturer.
A. Material shall be mixed with water In accordance with manufacturer's
specifications. Once mixed to proper consistency, the materials shall be
pumped via a rotor -stator style progressive cavity pump through a
material plaster hose for delivery to the appropriate and J or selected
application device.
B. Spray application of the cementitious material.
a. Material hose shall be coupled to a low -velocity spray application
nozzle. Pumping of the material shall commence and the mortar
shall be atomized by the introduction of air at the nozzle, creating a
low -velocity spray pattern for material application.
b. Spraying shall be performed by starting at the manhole Invert and
progressing up the wall to the corbel and chimney areas.
c. Material shall be applied to a specified uniform minimum thickness
no less than '/ inch. Material shall be applied to the bench area in
such a manner as to provide for proper drainage without ponding.
C. Centrifugal spin casting application of the cementitious material.
a. Material hose shall be coupled to a high speed rotating applicator
device. The rotating casting applicator shall then be positioned
within the center of the manhole at either the top of the manhole
chimney or the lowest point elevation corresponding to the junction
of the manhole bench and walls.
b. The high speed rotating applicator shall then be Initialized, and
pumping of the material shall commence. As the mortar begins to be
centrlfugslly cast evenly around the interior of the manhole, the
rotating applicator head shall be ralsed and 1 or lowered at a
controlled retrieval speed conducive to providing a uniform material
thickness on the manhole walls.
c. Controlled multiple passes are then made until the specified
minimum finished thickness is attained. If the procedure is
Interrupted for any reason, simply arrest the retrieval of the applicator
head until flows are recommenced.
d. Material thickness may be verified at any point with a depth gauge
and shall be no less than a uniform '/--inch. If additional material is
required at any level, the rotating applicator head shall be placed at
that level and application shall recommence until that area is
thickened.
D. Material shall be applied only when manhole is in a damp state, with no
visible water dripping or running over the manhole walls.
E. The low -velocity spray nozzle and the centrifugal spin casting head may
be used in conjunction to facilitate uniform application of the mortar
material to irregularities in the contour of the manhole walls and bench
areas.
F. Troweling of materials shall begin immediately following the spray
application. Initial troweling shall be in an upward motion, to compress
the material into voids and solidify manhole wall. Precautions should be
taken not to overtrowel.
G. Curing will take place once the manhole cover has been replaced. It Is
important that the manhole cover is replaced no more than 10-20
minutes after troweling is complete to avoid moisture loss In the material
due to sunlight and winds.
H. Material shall not be applied during freezing weather conditions. Material
shall not be placed when the ambient temperature is 37 degrees
Fahrenheit and Falling or when the temperature is anticipated to fall
below 32 degrees Fahrenheit during 24 hours.
6.0. QUALITY CONTROL
The quality and performance of the material shall be maintained by one or all of the
following measures to be determined and specified by the engineer or owner.
5.1 Performance Testing
A. Vacuum Testing
B. Exfiltratien Testing
C. Visual Inspection
5.2 Material Testing
One 2 X 2 inch sample cube shall to taken for every 50 bags of material used.
Samples shall be sprayed from nozzle, identified and sent to an independent test
laboratory for compression strength testing as described in ASTM C-109.
6.0 WARRANTY
Product manufacturers shall warrant all materials to be free of defects product design and
workmanship for a period of one year from date of purchase. Manufacturer will provide
replacement materials for any product proven to be defective when applied in accordance
with manufacturer's recommendations. Manufacturers obligation shall be limited solely
to product replacement.
March 22, 201-1
Eric Lewis
Lewis Concrete Restoration
405 Ware Dr.
Buda, TX 78610
Dear Eric:
This letter certifies that Lewit:Con&ete Restoration is a Raven Certified Applicator in good standing in
accordance with the Certified Applicator Agreement executed between Lewis Concrete Restoration and
Raven i_ining_5ysterns for the year of 2011.
Lewis Concrete Restoration possesses the necessary equipment and maintains trained personnel to
properly apply AquataPoxy and Raven coatings.
Lewis Concrete Restoration has been a Raved Certified Applicator since 1998.
if should have anyfurther questions, please contact me accordingly.
13105 E. 61S . Street — Broken Arrow, OK 74012 — 800-324-2810 — 91B-615-0140 (fax)
E:
N G yT ffr w
April 15, 2011
Sherry Lewis
Lewis Concrete Restoration
405 Were Dr.
Buda, TX 78610
Dear Sherry:
This letter certifies that Lewis concrete Restoration is a Raven Certified Applicator in good standing In accordance
with the Certmed Applicator Agreement executed between Lewis Concrete Restoration and Raven Lining Systems.
Lewis Concrete Restoration possesses the necessary equipment and maintains the trained personnel listed herein
to properly apply AquotaPoxy and Raven coatings.
Employee
Yrs. Of Training
Aquilar, Lorenzo
14
Arthur, Lord
12
Bolton, Jared
1
Escobar, Dlonicio
14
Hernandez, Raymundo
1
Eric, Lewis
14
Lewls, Travis
6
Melia, Olvin
1
Moreno,Juan
10
Ortiz, Crescenslano
i month
Ramirez, Fransisco
8
Ramirez,.Heriberto
8
Ramirez, Jalme
8
Ramirez, Jesus J
8
Ramirez, Jesus 0
8
Ramirez, Rodrigo
8
Reyes JEMP), Mlsael
8
Samuel,Andy
2
Vela, Saul
Lewis Concrete has been a Raven applicator since 1998.
Should you have any other questions, please contact this office accordingly.
Lining
13105 E fi Street Sutte A Broken Arrow, Ok 74032 91"IS-0020 918-615-0040 (fax)
Raven 155
DESCRIPTION
Raven@ 155 is a
ultra-Iow viscosity
TYPICAL U1
Formulated ford
existing con"'
high -early 9tiei11
Raven coating3_:;
COLOR
Off white, milk
transparent film. }
Sre>aitvhterborne epoxy witlf
penetrating: pn er-Jer new and
a polymer adchtivi.for use with
.r mortars tq a #opcoated with
W'r"rial which dries to a
SOLIDS BY VOLUME.'
As supplied: 71% sohds:bl
Volatile Organic Compouz
FILM THICKNESS 4'
Raven 155 is a waterborne 'qpozq ' and will. exhibit
shrinkage during mg. Therefore; applied wet film
thickness (WFT) and final dry film thickness (DFT) will not
be the same. Required VVI7 may be calculated using the
following formula: YVFT = desired DFT divided by %
solids by volume.
THEORETICAL COVERAGE
At 8 mils WFT coverage is 200 square feet per gallon
providing 3 mils DFI' at 40% solids. Actual surface
coverage will depend on surface irregularities and
porosity. Trials are recommended to determine the actual
coverage required to yield desired surface saturation.
Contact RLS for more details for use as a polymer additive
with repair mortars.
APPLICATION METHOD
Brush, squeegee, trowel or hand application or acceptable
methods of applying repair mortars utilizing WB as a
polymer additive.
To clean tools, use so
require use of a solver
clean skin, immediate)
water. Refer to the
additional information
POT LIFE
45 minutes for 1 gallon at
30 minutes for 2 gallons a
The amount of pot
depending on the qua
water added, ambient
which the mixed ma
additional information.
component may
for 'clean-up. To
y with soap and
Data Sheet for
g life will vary
Axed, amount of
the container in
Contact RLS for
CURE AND REC0j =
Temperature and refe ' dity affect cure and recoat
windows of RaveA g�i applied as a concrete primer,
at 72 deg F and laws RH:
-Tack f re6z� h41r
WEN' 4 hours
�:-; ,
' o recoat in 24 hours
Recoat window 24 hours to 28 days
When using as a polymer additive in repair mortars, cure
and recoat properties reflect typical repair material
guidelines.
155 typically does not require additional surface
preparation treatment prior to topcoat application of Raven
coatings, provided contamination of surfaces does not
occur.
SURFACE TEMPERATURE -
Minimum recommended: 40'R
Maximum recommended: 120'F
THINNING 155 is a waterborne epoxy. Therefore humidity levels
Thin only with potable water, do not thin below 20% below 40% are required to allow the coating to cure
solids by volume. Contact RLS for detailed information. through evaporation. Environmental controls and/or
sufficient ventilation may be required to attain proper cure.
SURFACE PREPARATION
All contaminants including oil, grease, wax,
sealers, salts, or other contaminants must
may be accomplished through one or a�
following methods: detergent watVxr. &
(steam) cleaning, and/or solvextt clef
cleaning should be followed r -I
potable water. Allow surface,ts:ikyxm
lint free rags.A.
Freshly applied
troweled and a]
without leaving
After contamft4fs tl air ;been
profile for adhej can
using high press'' §i cleat
blasting, shotblas46: com]
Raven 155
of the
CL f'!L`w VVIUL i
W_%
should be 1ihtiyz
may be�wail�ci,�:'.
�d createa�.surface
°accomplished
itif ietti'rirc, abrasive
Pints and 1-gailon pailszRav �5.:is-;available through
Certified Applicators,
COMPONENTS AND MAL-1AT1.0
Part A, Resin. Part B, Hardentr 1:?i: Fry; volume. Contact
RLS for details when utilizing 155 as a polymer additive in
repair mortars.
Brookfield
ii(IF0and 2TC).
used' to fieezing ti
Consult the Material Safety
concerning health and saf
Strictly follow all notices on the
and container label. If you di
notices and procedures provid
comply with them, do not use
measures are dependent on apt
environment. Contact RLS to o
Safety Data Sheet at 800-324-28
fixed containers at room
between GOOF and
4ROQ iat.to freeze or be
,r this product
before using.
fety Data Sheet
tnderstand the
cannot strictly
:. Actual safety
hods and work
of the Material
Warmnty and Disclaimer: RLS, a division of CIPAR, Inc., warrants its products to be fee of manufacturing defects and that they will meet RLS current
published physical properties when applied in accordance with directions and tested in accordance with ASiM and RLS standards. If, within one year
from purdhase, any product does not meet the physical properties or is defective in manufacture, RLS, at its sole option, will either replace the defective
product or refund the purchase price. This warranty is void If the product is used contrary to RLS written directions.
THE AFORESAID IS THE EXCLUSIVE WARRANTY AND IS IN LIEU OF ALL OTHER WARRANTIES, EXPRESS OR UYTLIM. THERE IS NO
WARRANTY OF MERCHANTABILITY OR FTfNESS FOR ANY PARTICULAR FURFOSE. UNDER NO CILtCItMSTANCES SHALL RLS OF
LIABLE FOR INCIDENTAL OR CONSEQUENTIAL DAMAGES OR FOR LOST PROFITS. NO ACTION AGAINST RLS MAY BE COMMENCED
MORE MAN ONE YEAR AFTER THE CLAIM ARISES.
wwwAs-solutions.com
804-324-2$10 I timail: contact@rls-soiutions.com
a GONCMANT a=PWy 0 2007 RLS
Raven' 405 Is a solvent -free 100% solids, ultra high build epoxy
coating fonmulated with exceptionally high physical strengths and
broad range chemical resistance. 405 exhlblts superior bond to
concrete, steel, masonry, fiberglass and other surfaces, even
under moist and damp conditions. Designed for operating
temperatures up to 200°F, 405's unique ultra high-bulld ability
allows It to be spray applied over 200 mils In a single application
on vertical and overhead surfaces. The high physical strengths of
405 allow It to be designed as a structural lining in manholes,
pipelines, tanks and other vessels.
a
Surfaces where rehabilitation of an existing struclures requires
onhancemont of iho structural integrity and where exposure to
concentrated acids and caustics may be expected, including:
• Tunnels and pipelines
• Clarifiers
• Digesters
• Tanks
+Secondary containment
Wastewater facilities and Manhole rehabilitation
� ■ r
Light blue is standard. Umlted special colors are available on
request. Contact Raven Lining Systems for information.
SOLIDS BY VOLUME a VOCIS
100% solids by volume.
Volatile Organic Compounds: 0.0 Ibs/gallon
Raven 405 Is a 1009% solids epoxy with zero shrinkage. Therefore,
actual wet film thickness and final dry film thickness are the same
(i.e.10 mils WFT=10 mlis DFT). Dependent upon surface profila, a
maximum of 200 mils per coat Is rocornmended to prevent sagging
on vertical or overhead surfaces. Gonerally, two thinner application
coats are recommended for quality assurance in coverage. Awet
film thickness gauge can be used to determine coating coverage.
40 square feel per gallon at 40 mils thickness. Actual surface
coverage will depend on surface irregularitles and desired result.
Trials are recommended to determine The actual coverage required
to yield a desired film thickness for each Individual type of
installation. Recommended coverages will vary from 40.250+ mils
depending on the installation. Additional Information is available in
the Design Guide for the Application of AquataPoxy and Raven
Epoxy Goalings or by contacting Raven Lining Systems.
For u ll!fetime of protection.
APPLICATION METHOD
Brush, roller, heated plural component aldess or air-asslated spray.
Additional information Is available in the Design Guide for the
Application of AquataPoxy and Raven Epoxy Products. For
speollic Informatlon on spray systems design, approved systems
and Certified Applicators contact Raven Lining Systems.
Do not thin with solvents; pinholIng and loss of adhesion can
result. If lower viscosity Ia desired, heat unmixed material by
placing containers in 1301F tap water or, if sun is available, place
the containers In the hot sun until the desired flow characteristics
are present. Drum heaters and inline healers can be used for
larger quantities and on specialized spray equlpment.
To clean tools, use acetone, "a or MEK. To clean skin,
immediately wash thoroughly with soap and water - refer to the
Material Safety Data Shoot for additional information on health and
safety.
20 minutes for 1 gallon at 79F.
15 minutes for 2 gallons at 7&F.
The amount of pal life and working life will vary depending on the
quantity of epoxy mixed, ambient temperature and the container in
which the mixed material Is held. Cont vcn LI 5 toms
fpr additional Infomtat
Alter Part A and Part 8 are mixed, epoxy goes through a stage
called gelation where the coating becomes very sticky. This is
followed by the initial sat (generally B hours at 7019. At this time,
the coating can usually wfthsland light traffic cr flow, but curing
continues for several days even underwatsr. Allhough near
maximum physical properties are achieved in 8 hours at 70°F,
maximum chemical resistance may take three to seven days. This
can be shortened by increasing the component and/or ambient
temperature. When applying several coats to reach final dry film
thickness, no rnore than 24 hours at 70°F should be permihed to
pass between coats. Before recoating clean surface thoroughly to
remove all contaminants. The coated surface should be protected
from contamination of any type between coats. For more
information contact Raven Lining Systems.
Minimum recommended: 40°F.
Maximum recommended: 120°F.
0 26D2 Raven toning Systems, Inc.
Surfaces to receive coating must be cleaned of all oil, grease, mt,
scale, deposits and other contaminants. Contact Raven lining
Systems for specific recommendations.
STEEL surfaces may require'Solvent Cleaning' (SSPC-SP1) to
remove oil, grease and other soluble contaminants. Surfaces to
be coated should then be prepared according to SSPC-SP10 or
NACEw No. 2: 'Neer White Blast Cleaning'. In certain situations,
an aRernate procedure may to use hlgh (>5,DD0rW) or ultrahigh
(>10,000psi) pressure water cleaning or water with sand Injection
and an approved rust inhibitor. The anchor profile for surface
preparation must be a minimum of 2 mils.
CONCRETE AND MASONRY surfaces can ganaratty be prepared
by low- (3500-5,000 psl) to high- (>5,000 psi) presaure water
cleaning, abrasive blasting, sholbiasting or a combination of acid
etching and water cleaning.
WOOD surfaces should have all old, softened or rotten areas
removed. The area to be coated should be sanded, then rinsed or
cleaned to remove dust and loose particles. Nlaw the surface to
dry thoroughly. A penetrating primer such as low viscosity
AquataPoxy A-10 may be recommended as a primer.
FIBERGLASS surfaces should be rinsed and neulrallzed, scarified
and cleaned with water or an emulsion of solvent and water to
reprove remaining dust and loose particles. Allow the surface to
dry thoroughly.
For a If fetime of protection.
AVAILABLE ;
4-gallon pails (4-gallon kit), Fgallon pails (20•gallon kit), 30•gallon
drums (120-gallon kit), 55-gallon drums (220-gallon kit). Raven
405 is available exclusively through Raven Certified Applicators,
contact Raven Lining Systems.
Part A, Resin. Part B, Hardener. 3:1 by volume.
Part A, 160,000 cps at 231C. Part B, 40,000 cps at 23°C.
Shelf Life: 1 year In sealed, unmixed containers at room
temperature. Store In a sheltered area between 8YF and WF
(i5°C and 2Tq.
Consult the Material Safety Data Shoot for this product
conceming health and safety information before using. Strictly
follow all notices on the Material Safety Data Sheet and container
label. If you do not fully understand the notices and procedures
provided or if you cannot strictly comply with them, do not use
this product Actual safety measures are dependent on
application methods and work environment. Contact haven Lining
Systems to obtain a copy of the Material Safety Data Shoat at
800-324-2810.
PERFORMANCE
DESCRIPTION
METHOD
RESULTS
Flexural Strength
ASTM D790
13,CD0 psi
Compressive Strength
ASTM D695
18,000 psi
Tensile Strength
ASTM 0638
7,600 psi
Tensile Ultimate Elongation
ASTM D63B
1.5%
Hardness, Shore D
ASTM D2240
88
Water Vapor Transmission
ASTM D1653, Method t3
3.8 gmslsq.m. per 24 hours
Taber Abrasion, CS17 Wheal
ASTM D4060, IODD g IoadrtDOOcycles
<112 mg loss
Adhesion
ASTM D4541, Concrete
substrate failure
Steel (SSPG10)
>1,400 psi
Temperature Resistance
Steel, unprimed and Concrete
200 dog F
Warranty and Dlsetaimer: Raven Uning Systems, Inc. ('Raven') warrants tile products to be free of manufacturing defects and that they will meet Raven'a current
pubdahed physical properties when applied In accordance with haven's dlroeons and tested In accordance with ASTM and Raven standards, N, within one (1)
year from purchase, any product does not meet the physical properties or Is defective in manufacture, Raven, at its sole option, will either replace the defective
product or refund the purchase price. This warranty Is void if the product Is used contrary to Raven's wiilten directions.
THE AFDRESAID IS THE EXCLUSIVE WARRANTYAND IS IN LIEU OF ALL OTHER WARRANTIES, EXPRESS OR IMPLIED. THERE IS NO WARRANTY
OF MERCHANTABILITY OR FITNESS FOR ANY PARTICULAR PURPOSE, UNDER NO CIRCUMSTANMS SHALL RAVEN BE LIABLE FOR INCIDENTAL
OR CONSEQUENTIAL DAMAGES OR FOR LOST PROFITS. NO ACTION AGAINST RAVEN MAY BE COMMENCED MORE THAN ONE (1) YEAR AFTER
THE CLAIM ARISES.
11/02
MATERIAL SAFETY DATA SHEET
Trade Name: Raven 405 -Part A
SECTION I
Manufacturer: Raven Ltr*V Systems Emergency Telephona# 800.424-93W
1024 North Lansing Chemtrec
Tulsa, OK 74108
Rev]slon Date: aj01Iol Information Telephone 0: 918.584-2814
80a324-281 D
II: INGREDIENT INFORMATI�
INGREDIENT GAS NUMBER PEL TLV
Epoxy Resin 25Q88 W 6 N E NE
SARA Title III, Section 313logredients: Now
The remaining ingredlenl(s) Is I are being Wlhheld as a trade secret.
SECTIONAlk PHYSICAL DATA
Bolling Point: > 200 deg F Sp eft Gravity: 1.23 -128
Vapor Pressure: NIA Malting Paint: NIA
VaporDenatty: NIA Evaporation Rate: Not established
Solubility In Water. negligible '%Volatile by Vohsne: < i %
Appearance and Odor: White colored Hqutd with a heavy pains consistency — mild epoxy odor
SECTION IV: FIRE & EXPLOSION HAZARD QATA
Flash Point > 200 deg F. PMCC Method DOT Flammablllty Claaalflcatlon: non-flammable
Extinguishing Media; Foam, C04, Dry Chemlcal
Spoclal Fire Fighting Procedures: The use of setf-contalned breathing apparatus Is recommended for freNhters. Water may
be helpU In keepkig adjacent containera coca. Avold spreading burning IquA with water used for cooling purposes.
Unusual Flra and Explosion Hazards: Keep wak areas tree or hot melal surfaces and other sources of t ni>don.
SECTION V: REACTIVITY DATA
Stabillty: Stab)e
Inwrnpatlbllity: Strong adds and bases, selected amines, oxidizing agents.
Hazardous Decomposttton or Byproducts: Thermal decomposition in the presence of air may yield carbon monoxide,
carbon dioxide, aldetrydas and ketones.
Hazardous Potyrnwtratlon: Will notoccur.
Raven 405 — Part A
SECTION EALTH HAZARD DATA
Primary Routes of Entry:
EYES: May cause moderate eye Irritation. Comeal hW Is possib)e.
SKIN: May cause allergic skin reaction in susceptible Yxllviduals. Prolonged exposure likely to cause significant skin
Irttalon. Repeated exposure may cause skin k4tallom
INHALATION: Vapors are unlikely due to physical properties.
1NGESTiOW Moderately to)dc may be hamrful Ifswa}lowed,
SYSTEMIC and OTHER EFFECTS: Preexisting eye arxi skin disorders maybe aggravated by exposure to this
product
Emergency and First Aid Procedures:
EYES: Flush with large quantities of wager for at least 15 minutes. Consult a physician.
SKIN: Wash o(iin Rowing water urshower. Remove contaminated clothing,
INHALATION: Remove to fresh air If affects occur. Consult a physician.
INGESTION: Cive 2 glasses ofwater and induce vomiting. Consult a physician.
SECTION VII: PRECAUTIONS FOR SAFE HANDLING AND USE
Steps to Be Taken In Casa Material [s Released of Sprlled: Keep sources of ignition and tot metal surfaces isolated from the
split. Material may flow slowly. Scrape Into containers for disposal.
Waste Disposal Methods: t]IspOse of according to all local, state and federal regulations.
Precautions to Be Taken In Handling and Storing: "containers dosed when not in use. Avoid pro"od or repeated
contact with aklo. DO NOT handle or store near (lame, heat or atrong oxidants. Avoid prolonged storage above 36 deg C (1 D0
deg F).
ECTION VII : L MEASURES
RESPIRATORY: Respiratory protection should not be needed, If respiratory irritation is experienced or during spray
appllcatlon, use a MSHA or NIOSH approved respirator.
VENTILATION: General mechanical ventilatlon is sufficient for most cwfiEons. Local exhaust ventilation may be necessary
for some operations.
EYES: Use safety glasses. splash-proDf eye goggles or gaggles w lth full facesMeld.
CLOTHINGIGLOVES: Use impermeable gloves to prevent skin Irritation in sensitive Individuals. Wear clean, long-sleeved,
body covering dothlng.
Proper Shlpp[ng Name: not regutated
Hazard Class: not regulated
Idaftffcatlon Number. NIA
Packing Group: NIA
SECTION IX: TRANSEQRT DATA
SECTION X: DISCLAIMER
RAVEN MAKES NO REPRESENTATIONS OR WARRANTIES WITH RESPECT TO ANY INFORMATION PRESENTED
HEREIN, ALL OF WHICH IS PROVIDED "AS IS". TO THE MAXIMUM EXTENT PERMITTED BY LAW, RAVEN
EXPRESSLY EXCLUDES ALL WARRANTIES, OBLIGATIONS, REPRESENTATIONS, LUABILITIES, TERMS AND
CONDITIONS (WHETHER THEY ARE EXPRESS OR IMPLIED, OR ARISE IN CONTRACT, STATUTE. OR
OTHERWISE, AND IRRESPECTIVE OF THE NEGLIGENCE OF RAVEN, ITS EMPLOYEES OR AGENTS) IN
CONNECTION WITH THE INFORMATION PRESENTED HEREIN, RAVEN MAKES NO REPMENTATIONS OR
WARRANTIES AS TO MERCHANTABILITY. FITNESS FOR PURPOSE, NONINFRINGEMENT OR CONFORMITY
WITH DESCRIPTION OR SAMPLE.
Raven 405 -- Part A
MATERIAL SAFETY DATA SHEET
Trade Name: Raven 405 - Part B
SECTION 1
Manufacturer. Raven Lining Systems Emergency Tokohor:6#: 800424-9300
1024 North Lansing Chernbte
TUsa, OK 74106
Ravislon Date: 01101 Information Telephone # 918 584-2810
80024.2810
SECTION H- INGREDIENT INFORMATION
INGREDIENT CAS NUMBER PEL Tt.V
Aliphatic amines Mixture NE NE
Gycloallphaticamines Mbdure NE NE
BisptwMA 80-05-7 NE NE
SARA TWo III, Section 313 Ingradlents: Bfsphenol A
The remaining ingredlent(s) is / are being withheld as a trade secret
SECTION III: PHYSICAL DATA
Boiling Point: > 200 deg F Specific Gravity: 1.00 -1.05
Vapor Pressure: N/A Melting Point NIA
VapcwDcnsity: N!A Evaporation Rate: Notestab*shed
Solubility In Water: r"Ilgible % Volatile by Volume: < 1 %
Appearance and Odor. Blue gel with a characteristic amine odor.
SECTION IV; --FIRE & EXPLOSION HAZARD DATA
Flash Point: > 200 deg F. Setatlash Method Fire Hazard Clmllfication (OSHA1NFPA): Class III B.
Extinguishing Media: Foam, Cg, Dry Chemical, Water Spray
Special Fire Fighting Procedures: The use of seff-coaWned breathing apparatus is recomnww led for firefighters. Water may
be helpful in keeloN adjacent cwWrers coal.
Unusual Fire and Explosion Hazards: May generate toxic or Irritating combustion products. Sudden reaction and fire may
resin! If product Is noted with an oxlrffiIng agent. Delayed lung damage (pulmonary ederna) can be experienced after exposure
to cornbwkn products.
€CTiON V: REACIIYIIX DATA
Stability: Stable
Incompatibility: Strang adds and bases, secededamines, oxidizing agents.
Hazardous Decompostt!" or Byproducts: Thermal decomposition In the presence of air may &Id carbon monoxide,
carbon dioxide, aidetrydes, ketones and nitrogen wddes.
Hazardous Polymerization: 1fAI not occur.
SECTION VI: HEALTH HAZARD DATA
Primary Routes of Entry:
EYES: Severe eye Went. May cause burns. Vapors may be Irritating.
SKIN: Severe skin kritant May cause Injury to sldn fallowerg pmkwo led or repeated oontad. Repeated exposure
may cause semasitizatcon of the IrAWuel.
Raven 406 — Part B
INHALATION: Excesslve Inhalation Is nicety to cause irritation of mucous membranes. Repeated exposure can
rerun In lung damage.
INGESTION: Corrosive and may cause severe and pem7anentdamage tomouth dwoMand stomach.
SYSTEMIC and OTHER EFFECTS: Product can be alkaline, corrosive and irritating to skin, ears, eyes and mucous
mahrbrarres. Aliphatic amktes can cause charrges in the lungs, aver, kidneys and heart.
Emergerrey and Flrat Aid Procedures:
EYES: FhAh with large quantities of water for at least 15 minutes. Get medical atterrlion Immediately,
SKIN: V*nh immediately with soap and water. If Irritation orsenskation occurs, remove IntAvldual from further
cm%cty thmaterial. Remove cantamloateddothkrg.
INHALATION: Remove to fresh eir If affects occur. Get medical attention.
INGESTI ON: If this product Is awallovmd, administer one glass of water. Do not induce vomiBng. Seek medical
attention Immediately.
SECTION V11. PRECAUTIONS FOR SAFE HANDLING AND USE
Stops to Ele Taken in Case Material Is Releasod of Spllied: Keep sources of ignitl m and hot metai surfaces Isolated from the
apil. Material may flow aluMy. Scrape Into containers for disposal.
Waste Die pout Mathods: Dispose of according to all local, state and federal regulations.
Precautions to Be Taken In Handling and Storing: Keep corrtairrers dosed when not In use. Avoid prokmged or repeated
cwriaa wish skin. DO NOT handle or store near flame, heat or strong oxidants. Avoid prolonged storage above 38 deg C (100
SF),
SECTION VIII: CONTROL MEASURES
RESPIRATORY: To avoid overexposure, vicar a property fined NIOSHIMSHA respirator with organic vapor cartridges.
VENTILATION: General machanical ventilation Is sufficient for most conditions. Local exhaust ventilation maybe necessary
for some operations.
EYES: Use chemical safety glasses, spiash-proof eye goggles or goggles with full faoeshield.
CLOTHINGIGLOVES: Use nitrile or other chonkaiy resistant gloves. Wear clean, kwgsieeved, body covering clothing and
nf)er boots.
SECTION IX: TRANSPORT DATA
Proper Shipping Name: Amines, liquid, corrosive, n.o.s, (cydoaliphatie amines)
Hazard Class: Corrosive Material - 8
Identification Number: UN 2735
Packing Group: it
SECTION X: DISCLAIMER
RAVEN MAKES NO REPRESENTATIONS OR WARRANTIES WITH RESPECT TO ANY INFORMATION PRESENTED
HEREIN, ALL OF WHICH IS PROVIDED "AS IS". TO THE MAXIMUM EXTENTPERMITTED BY LAW, RAVEN
EXPRESSLY EXCLUDES ALL WARRANTIES, OBLIGATIONS, REPRESENTATIONS, LIABILITIES, TERMS AND
CONDITIONS (WHETHER THEY ARE EXPRESS OR IMPLIED, OR ARISE IN CONTRACT, STATUTE, OR
OTHERWISE, AND IRRESPECTIVE OF THE NEGLIGENCE OF RAVEN, ITS EMPLOYEES ORAGEt'ITS) IN
CONNECTION WITH THE INFORMATION PRESENTED HEREIN. RAVEN MAKES NO REPRESENTATIONS OR
WARRANTIES AS TO MERCHANTABILITY, FITNESS FOR PURPOSE, NONINFRINGEMENT OR CONFORMITY
WITH DESCRIPTION OR SAMPLE.
Raven 405 — Part B
AV 333 Injectaflex
Hydrophilic Foam
Gineral'Specificatiorts Technical Specitica#fon
Description
AV-333 Injectaflex is a single -component urethane resin that reacts
rapidly with equal proportions of ureter to form a flexible, impermaabio
foam with excellent adhesion to concrete and some plastics. AV- 33 Is a
low viscosity chernical grout pinta* injected into the area of leakage,
creating a mechanna] and chemical band, as well as a compression seal.
General Uses
■ Medium to large cracks or joints In concrete
• Stop tnfitratlon throughout sewage systems, storm and drain culverts,
manholes, utility vaults, targ"ameter pipe or similar structure.
• Manhda and pipe penetrations
+ Excelent waterproofing for hmnds, rrnos, elevator pits, dams, reservoirs, etc.
• Material can be used in wet or dry cond}ilons.
Groutrig Tochniques
Expanded Gasket Piaosment Technique (EGP)
Variable Pressure Appl'icatlon Technique (V PAT)
Viscosity
3D0-601) CPS
Ratio
3:1 (Water to Resin)
5 Gallon Pail -10 Gallon batch
Underwriters Laboratories JUL ] Rated
ANSIIT'iSF Standard 61-06n16ng Water Systems Components
Additives
AV-25M Grout Side Accelerator- reduces gel tine
Packaging
Container-1'Gallon -12 ib, gross weight ea.
Pail - 5 Gallon - 50 lb. gross weight ea., 24 pails per pallet
$hipplttg
Motor Class 55
Hazard Class: 3
Air Freight available for:
1 Gallon Cortfgdnerr>
t
��
iLl 1
numy
l 5 Galion Pail
.�
6W j
Cleaning Products •��
AV 208-Acetone, Technlcai Grade am.�
AV-284 - Pump Wash
AVANTI
Avanl$&W stops leaks. PBmanerttiy.
Webster, Texas 77598 / 8W.877.2570
www.avantigrout.com / sales4avantigrout.corn
pXvsipm O 2IX15k+•^� irRmvoan
Descrption
Excellent bonding capabilities to concrete and some plastics.
Prapertim Lhtcured
Appearance: light amber liquid
Solids Content: 85%
ASTM D-1259
Viscosity: 300-600 cpe 0 707
ASTM D-163B
Flash Point > 25T (-3°C)
ASTM D- 93
Corrosiveness: Non-cormsivo
Reaollon Tine: 40 secoxls @ 70°F
Properties: Cured Foarn (1:1)
T"IeStwVth:lot}120ps!
ASTM D-3574
Elongatbrr: 750-650%
ASTM D-3574
Shrinkage: Q%after initial cure
Toxicity. Non-twdc
storage
AV-333 Injectaflex is sensOve to moisture and rnodwatefy sensitive to high
storage twrk3erattres. Store in a dry area between 40°F and 80°F.
AV-3331njectaflex should be property removed from all application
equdpmerd due to the hlgh risk of moisture contamination. lmmediateiy after
use, hoses and pumps can be oteanecl "ith AV-208 Acetone or AV-284
Pump Wash. This product is packaged under dry nitrogen to extend shelf
fife.
MSDS
Available by request, or download at vrvvw.avantigrout corrtlu}5AS
Shy
Product contains Toiuene Dllsocyenate (MlI Vapors may cause respiratory
Irritation and sensnmtk n. Take precautions to avoid breathing of fumes and
vapors. Operators should be equipped with protective clotting inciuding
rubber gloves and face shield. Ventilation should be used In confined spaces.
First Aid
£yes: Immediately flush eyes vrfth water for 15 minutes. Get medical attention.
Skim Wash affected area with soap and water. Remove contaminated clothing
Inhalation: Remove to fresh air. H breathing Is difficult get medical attention.
Ingestion: Drink 2 glasses of water. Call a physician.
Note: Never give anything by mouth to an unconsdous or convulsing person.
Notice
The data, information and statements contained herein are believed to be
reliable, but are not construed as a wanvanty or nepres"tation for which Avanti
International assrunes any legal responsdbiltty. Since field conditions vary
widely, users must undertake sufficient veriibabon and testing 10 datemnine
the sultablthy of any product or process mentioned In this or any other written
materdal from Avant! for their own padict iar use. NO WARRANTY OF
SUITAS)UTY OR FITNESS FOR A PARTICULAR PURPOSE IS MADE In no
rase shad Avanti International be liable forconsoQuential, special, or indirect
damages resulting from the use or handling of fhls product
Date: November 1, 2004 Page 1 of 3
M9terlel� Sa�6t)1 �ti1� �.Jtl�@Z ,. ... _ . � t, t i - � dl _ .,_ , wl "..:� Y � � � ,a �Sv 4 •.,t
Avanti International Chemtrec Emergency Phone: 800-424-9300
822 Bay Star Blvd. Product Data Information: 281486-5500
Webster, TX 77598 Fax: 281 A86-7300
Froduct denttfiFaton. rk�ti.cr�:..: ',�_:', :.-. �x
Product Name: AV-333 Injectaflex
tiQ 06A`it�U��ryryredf ii�i{r1f4�'�7'�a Oh) r - a� r'rc�A : 3 Six'• s ••:>' :: l
Ingredient Nime I CAS Number
Exposure Limits
Concontration
Urethane Prepolyrner
OSHA Not established.
CAS #57516-88-8
ACGIH: Not established.
Trade Secret
Acetone
OSHA 5 mglrre
CAS #67-64-1
ACGIH: Not established,
Trade Secret
Toluene 2,4-Diisocyanate
OSHA PEL: 0.005 ppm
GAS #584-84-9
ACGIH TWA 0.005 porn
Trade Secret
Toluene 2,6-Diisocyanate
OSHA PEL: 0,005 ppm
CAS #91-08-7
ACGIH TWA 0.005 ppm
Trade Secret
Primary Route(s) of Entry: Skin absorption and inhalation.
Health Hazards: Severe eye irritation, severe skin and upper respiratory irritation are possible.
Eye Contact Vapors are irritating to the eyes. Splashes, may cause severe irritation, with redness, tearing, blurred vision.
Skin Contact: Exposure can cause defatting of the skin. Causes redness swelling, drying and cracking of the skin.
Prolonged or repeated contact may cause moderate dermatitis.
Ingestion: May have corrosive effects on the lining of the mouth and stomach. May produce abdominal pain, nausea,
diarrhea, and vomiting.
Inhalation: Exposure can cause upper respiratory tract irritation. May cause dizziness coughing, dullness, and headache.
Higher concentrations can produce Central Nervous System depression, narcosis, and unconsciousness Prolonged or
repeated overexposure may cause blood disorders, gastrointestinal disturbances and lung damage; kidneys, liver, and
nervous system may be affected.
1.=1i'st:'Ait�.Meastifa�..;�. ., 1.=• '.. t ' �':4.��; rr !,; r.
Eyes: Flush with plenty of water for at least 15 minutes. Get immediate medical attention.
Skin: Wash thoroughly with soap and water. If irritation develops, consult a physician. All contaminated clothing should be
washed prior to reuse.
Inhalation: Remove to fresh air. if breathing has stopped administer artificial respiration. If breathing is difficult, administer
oxygen and get medical attention. Asthma like symptoms may develop.
Ingestion: Vomitting may occur spontaneously. Do not induce vomiting. if vomiting occurs, keep head below hips to
prevent aspiration into lungs and seek immediate medical attention. Aspiration of material into the lungs due to vomiting
can cause chemical pneumonitis. (Never give anything by mouth to an unconscious or convulsing person.)
Flash Point: 10.4°F (-12°C) COC
Flammable Limits: LEL: Not Determined
Extinguishing Media: Dry chemical, alcohol foam, carbon dioxide, or water. Water may be ineffective.
Special Fire Fighting Procedures: Wear self-contained breathing apparatus and full protective clothing.
Unusual Fire and Explosion Hazards: This material will form vapors when above flash point. These vapors can travel
along surfaces to a distant ignition source and flash back. Sealed containers may rupture when heated.
AV-333 Injectafiex Page 2 of 3
AdcideriE Ftelease;M'e
Spilt or Leak Procedures: Eliminate all ignition sources and evacuate spill area; with adequate ventilation, cover the spill
with an inert absorbent material. Pour isocyanate decontaminant solution (90% water, 8% concentrated ammonia, 2%
detergent) on spill and allow to react for 10 minutes. Alternately, pour water on the spill and allow reaction to occur for
more than 30 minutes. Place in a proper waste container. Do not sea] the drum for 48 hours to avoid possible pressure
buildup. Wear respirator and other protective equipment for protection of eyes and shin during cleanup.
Storage: Protect against physical damage. Store in a cool dry area well ventilated area, away from ignition sources.
Separate from incompatible materials. Containers should be bonded and grounded for transfers, to avoid static sparks.
Handling: Use only in well ventilated areas, unless used with recommended respiratory protection. Empty containers of
this material may be hazardous when empty since they retain product residues; observe all warnings and precautions
listed for the product.
t aCp&ure Contiols4and�P Fs xial�P.:ha ect�an r t 'n<<'i� d>
Respiratory Protection: Wear NIOSHIMSHA approved supplied air respirator or self-contained breathing apparatus when
airborne concentrations are unknown or exceed permissible limits. Half face organic vapor respirators may be wom for up
to ten times the exposure limit, or the maximum use concentration specified by the appropriate regulatory agency or
respirator supplier, whichever is lowest_ A full -face organic vapor respirator may be worn for up to 50 times the exposure
limit or the maximum use concentration specified by the appropriate regulatory agency or respirator supplier, whichever is
lowest. Air purifying respirators do not protect workers in oxygen deficient atmospheres. Ventilation: Mechanical
generalflocal exhaust to control vapor or mist below maximum exposure limits.
Protective Clothing: Wear impervious clothing, including boots, gloves, lab coat, apron or cover ails.
Eye Protection: Use chemical safety goggles andlor a full face shield where splashing is possible. Maintain an eye wash
fountain and quick drench facilities in the work area.
Other Protective Equipment: Use impervious rubber gloves and boots,
WorklHygienic Practices: Wash with soap and water after handling. Remove contaminated clothing and wash before next
use.
PWSicaFc#herr)�'c:alP..pi'':.��.'?
Appearance and Odor: Transparent brown liquid with an acetone odor.
Boiling Point: 132°F (S5°C)
Vapor Pressure (mm Hg @ 200C): 180
Vapor Density: 2.0
Speck Gravity (water --I): 1,023 (+0.005)
Melting Point Not determined
Evaporation Rate (butyl acetate): 1.90
Solubility in Water. Soluble in water
Stagl)Ifyand,RactNlty*��:'�: �: ��� s a { t4 g , s
Stability: Stable under normal storage and handling conditions.
Incompatibility (materials to avoid): Strong bases, water, amines, alcohols, and oxidizing materials.
Hazardous Decomposition Products: Carbon dioxide, carbon monoxide, toluene di]socyanate vapors, hydrogen cyanide
gas, and oxides of nitrogen.
Polymerization: will not occur.
Tox�olagi�al n{o�rYiat�ort � � 3 , � ; i;._ - •_:..,>:;.�, ...:
,bra.
Carcinogenicity: NTP and )ARC consider Toluene Diisocyante a potential carcinogen
IARC monographs:
Teratogenicity: None Determined
Reproductive Toxicity: Acetone is being investigated as a reproductive effector, a tumorigen, and a mutagen.
Mutagenicity: None Determined
Synergistic products: None
OSHA regulated: Yes
AV-333 Injectaflex
Page 3 of 3
yam,
on :... _
l..lrlfQl•[itaf;l
When released into the soil, this material is expected to readily biodegrade. If released into the soil without catalysts, this
material is expected to leach into the groundwater. When released into the soil, the acetone portion will evaporate
quickly. When released into water polymerization may occur. The acetone Is expected to disperse and quickly
evaporate. This material is not expected to be toxic to aquatic life. For acetone, the LC50196 hour values for fish are over
100 mgA.
Dlsposat Co�rs�d�`ra ns�3'
Dispose of in accordance with local, state, and federal regulations.
- y'�'•'A;. ";r-TEr"v.=:..i�:--'.r:i:•:KJ,-'�i'._ `.�¢reK-�L9'a.,�y"�,.',,ye�..1._:,;��Y..fl!.i•:x'. �i:ri :;,��� �..._
�, � .ns ' ��ol�in tl' �: - - iais��:'''{ .. �.F� rf . �::5:�:::"el ..�..r,r _• n, ... •: n: -�- .,'$=.`S::' ., r:/:... _.�.�'-:.t .�i 1!._h=: ,i
Hsu
Proper Shipping Name; Waste Flammable Liquid, (contains: acetone)
DOT Hazard Classlflcation: 3
UNINA Number. UN1993
Packaging Group: PG 11
Freight Class:
DOT Labels Required: Flammable
DOT Placards Required: Flammable
TSCA
SARA 302
SARA 313
CERCLA
RCRA
TSCA
RQ TPQ
LIST
261.3.3
8(d)
Urelhane Prepo"r (57516- "):
NO
NO NO
h0
NO
NO
NO
Acetone (67-64-1):
NO
NO NO
YES
50DD
U002
NO
2,4 Wueoe Dilsocyanate (584-84-9):
YES
100
YES
YES
U223
YES
2,6 Toluene alsocyanale (91-08-7):
YES
100
YES
YES
U223
YES
The information on this MSDS is accurate to the best of Avanti International's knowledge. Avanti International makes no
expressed or implied warranty, and in no case shall be liable for consequential, special or indirect damages resulting from
the use or handling of this product.
CITY 0
SOUTHLAKE
13
Finance Department
August 11, 2011
Ms. Sherry Lewis
CIO Lewis Concrete Restoration
405 Ware Dr_
Buda, Texas 78610
Re: RFB1105B420JT110016 Provide Manhole and Wet Well Rehabilitation Services Bond
Requirements
Dear Ms. Lewis,
Please consider this letter our official written notification the required bonds per the bid addendum are
each due in the amount of Fifty Thousand Dollars ($50,000.00). These bonds shall include the following:
The initial bond amount for each of the required bonds shall be Fifty Thousand ($50,000).
Bond Requirements: Prior to the commencement of work on this Project, Bidder shall
deliver to the City the following bonds issued by a good and sufficient surety licensed by
the State of Texas and satisfactory to the City:
i. A payment bond in the amount of 100% of the total contract amount insuring the
full and prompt payment of all persons performing labor and/or furnishing
materials in connection with this Project;
ii. A performance bond in the amount of 100% of the total contract amount insuring
full, faithful, and prompt performance of the responsibilities contained in this
contract within the time parameters provided herein; and
iii. A maintenance bond insuring full and prompt maintenance, repair and/or
replacement of the goods to be provided by Bidder for a period of one year from
date of acceptance by the City.
The maintenance bond is required prior to final payment for this initial contract phase.
Please call if you have any questions.
Sincerely,
Tim Slifka
Purchasing Manager, PPB
City of Southlake
1400 Main Street Suite 440
Southlake, Texas 76092
817-748-8312
tslifka@ci.southlake.tx.us
1400 Main Street Suite 440, Southlake, TX 76092, (817) 748-8345
THE
GRa1JP
INSCQ INSURANCE SERVICES, INC_
Underwriting Manager for:
Developers Surety and Indemnity Company + '` ' ; . „ `•
Indemnity Company of California
17780 Filch, Suite 200 • Irvine, Cafrfornia 9261E • (800) 782-1546
www.InscoDico.com Rl litCL {'ell
(PERFORMANCE BOND - TEXAS PUBLIC WORK)
PERFORMANCE BOND
Bond No.: 769404P
KNOW ALL PERSONS BY THESE PRESENTS:
That we, Lewis Concrete Restoration (Contractor),
as Principal, and 0evelp-pers Surety and Indemnity Company, 105 Decker Ct Ste. 670 Irving. TX 75062
as Surety, are held and firmly bound unto Cily of Southlake 1400 Main Street Suite 440 Southlake TX 76092
(Owner), as Obligee, in the penal sum
of Fifty Thousand and W100 DOLLARS
($ 50,000.00 ), lawful money of the United States of America, for the
payment of which, well and truly to be made, we bind ourselves, our heirs, executors, administrators, successors
and assigns, jointly and severally, firmly by these presents.
WHEREAS, said Contractor, Principal herein, has, by written agreement dated
entered into a contract with Owner for
RFI31105B420JT110016 - PROVIDE SEWER MANHOLE AND WET WELL REHABILITATION SERVICES
in accordance
with drawings and specifications prepared by
which contract is by reference
made a part hereof, and is hereafter referred to as the "Contract".
NOW, THEREFORE, a condition of this obligation is such that, if the Contractor shall faithfully
perform the work contracted to be performed and comply with all provisions of the Contract, with the exception
of any contractual obligation requiring payment of Contractor's subcontractors and suppliers, then this obligation
shall be void; otherwise to remain in full force and effect. The total amount of the surety's liability under this
bond shall in no event exceed the penal sum hereof.
PROVIDED, HOWEVER, This bond is executed pursuant to and in conformance with the provisions
of Chapter 2253, Texas Government Code, as most recently amended, and all liabilities under this bond shall
be determined in accordance with the provisions of said Chapter to the same extent as if it were copied at
length herein. No right of action or recovery shall accrue hereunder to or for the use of any person or entity
other than the Owner named herein, its heirs, executors, administrators or successors.
ID-1541 (TX) (3104) • PAGE 1 of 2
IN WITNESS WHEREOF, the said iprrilncipal and Surety have signed and sealed this instrument the 15th
day of August _ 1 _ I _ 2011
PRINCIPAL:
Lewis Con re- Restora
By:
Title:
Developers Surety and Indemnity Company
By:
Debbie Lemaster (A orney-in-fact)
Authorized Representative (Name and Title)
Signature of Authorized Representative
1D-1541 (TX) (3104) • AAGF 2 012
4M19 INSCO INSURANCE SERVICES, INC.
Underwriting Manager for:
' p Developers Surety and Indemnity Company
gRgIndemnity Company of California
37780 Fitch, Suite 200 • Irvine, Califomia 92614 • (800) 782-1546
www.InscoDlco.com
(PAYMENT BOND - TEXAS PUBLIC WORK)
PAYMENT BOND
STATE OF TEXAS Bond No.: 769404P
COUNTY OF
KNOW ALL PERSONS BY THESE PRESENTS:
That We, Lewis Concrete Restoration
of the City of Buda , County of
and State of Texas , as principal,
and Developers surety and Indemnity Company , a corporate surety
authorized to act as surety on bonds for Principal, are held and firmly bound onto City of 5outhlake
1400 Main Street Suite 440 Southlake TX 76092
(Owner), in the penal sum
Of Fifty Thousand and n o/1 00 1 DOLLARS
($ 50,000.00 ), we bind ourselves, our heirs, executors, administrators, successors and assigns,
jointly and severally, firmly by these presents:
WHEREAS, the Principal did, on the day of ,
20 , make and enter into a written contract with Owner for RFB1105B420JT110016 -PROVIDE MANHOLE
AND WET WELL REHABILITATION SERVICES
which contract is hereby referred to and made a part hereof as fully and to be the same extent as if copied the
length herein.
NOW, WHEREFORE, a condition of this obligation is such that, if said Principal shall pay all
subcontractors and suppliers furnishing labor, material, equipment and/or services to Principal or its subcontractor
in the prosecution of the work provided for in said contract, then this obligation shall be void; otherwise to
remain in full force and effect. The total amount of the surety's liability under this bond shall in no event
exceed the penal sum hereof,
PROVIDED, HOWEVER, that this bond is executed pursuant to and in strict performance with the
provisions of Chapter 2253, Texas Government Code, as most recently amended, and all liabilities under this
bond shall be determined in accordance with the provisions of said Chapter to the same extent as if it were
copied at length herein.
ID-1542 (TX) (3104) • PAGE i of 2
IN WITNESS WHEREOF, the said Principal and Surety have signed and sealed this insiswuen.t this
15th day of Au gust 2011
PRINCIPAL:
Lewis Concrete Restoration Developers Surety and Indemnity Company
gnature Signature
V
I V1V)0j&k,-t-
Name and T' e
Concrete Restoration
405 Ware Dr. Buda. TX 78610
512-983-3283
Phone Number
Debbie Lemaster, Attomey in Fact
Name and Title
N/A
Authorized Representative (Naive and Title)
Signature of Authorized Representative
ID-1542 (TX) (3/p4) • PAGE 2 of 2
IMPORTANT NOTICE
To obtain information or make a complaint:
AVISO IMPORTANCE
Para obtener information o para someter una queja:
You may call the Surety's toll free telephone number Usted puede llamar al numero de telefono gratis de
for information or to make a complaint at: pars information o para someter una queja ak
1-800-782-1546
You may also write to the Surety at:
P.O. Box 19725
Irvine, CA 92623-9725
You may contact the Texas Department of insurance
to obtain information on companies,
coverage, rights or complaints at:
1-800-252-3439
You may write the Texas Department of Insurance at:
P.O. Box 149104
Austin, TX 78714-9104
Fax# 512475-1771
web: http://www.tdi.state.tx.us
E-mail: ConsumerProtection@tdi.state.tx.us
PREMIUM OR CLAIM DISPUTES: Should you
have a dispute concerning your premium or about a
claim you should contact the Surety first. If the
dispute is not resolved, you may contact the Texas
Department of Insurance.
ATTACH THIS NOTICE TO YOUR POLICY:
This notice is for information only and does not
become a part or condition of the attached document
14WO-782-1546
Usted tanbien puede escribir a Surety at:
P.O. Box 19725
Irvine, CA 92623-9725
Puede comunicarse con el Departamento de Seguros
de Texas para obtener information acerca de compa-
nias, coberturas, derechos o quejas al:
14MO-252-3439
Puede escribir al Departmento de Seguros de Texas
P.O. Box 149104
Austin, TX 78714-9104
Fax# 512-475-1771
web: http://www.idi.state.tx.us
E-mail: ConsumerProtection@tdi.state.tx.us
DISPUTAS SOBRE PRIMAS O RECLAMOS:
Si tiene una disputa concerniente a su prima o a un
reclamo, debe comunicarse con el Surety primero. Si
no se resuelve la disputa, puede entonces comuni-
carrse con el departamento (TDI).
UNA ESTE AVISO A SU POLIZA: Este aviso es solo
pars proposito de information y no se convierte en
parte o condition del documento adjunto.
TH€
! F':J .
GRfMI
lnsco Insurance Services, Inc.
Underwriting Manager for:
Developers Surety and Indemnity Company • Indemnity Company of California
17780 Fitch, Suite 200
Irvine, CA 92614
1-500-782-1546
www.inscoDico.com
ID-1404 (TX) (Rev. 7/07)
POWER OF ATTORNEY FOR
DEVELOPERS SURETY AND INDEMNITY COMPANY Bond Number. 769404P
PO Box 19725, IRVINE, CA 92623 (949) 263-3300
KNOW ALL BY THESE PRESENTS that except as expressly limited, DEVELOPERS SURETYAND INDEMNITY COMPANY, does hereby make, constitute and appoint:
* Kenneth Zacharek, Rosslyn Davis, Brad Johnson, Debbie Lemaster, Thomas O. West, jointly or severally'
as its true and lawful Attomey(s}in-Fact, to make, execute, deliver and acknowledge, for and on behalf of said oarpaation, as surety, bands, undertakings and contracts of suretyship
giving and granting unto said Attomey(s}in-Fact full power and authority to do and to perform every act necessary, requisite or proper to be done in connection therewith as each of said
corporation could do, but reserving to each of said corporation full power of substitution and revocation, and all of the acts of said Attomey(s}in-Fact, pursuant to these presents, are
hereby ratified and confirmed.
This Power of Attorney is granted and is signed by facsimile under and by authority of the following resolution adopted by the Board of Directcrs of DEVELOPERS SURETY AND INDEM-
NITY COMPANY, effective as of January 1st, 2008.
RESOLVED, that a combination of any No of the Chairman of the Board, the President, any Executive Vice -President, Senior Vice -President or Vice -President of the corpo-
ration be, and that each of them hereby is, authorized to execute this Power of Attorney, qualifying the attomey(s) named in the Power of Attorney to execute, on behalf of the corporation,
bonds, undertakings and contracts of suretyship; and that the Secretary or any Assistant Secretary of the corporation be, and each of them hereby is, authorized to attest the execution of
any such Power of Attorney;
RESOLVED, FURTHER, that the signatures of such officers may be affixed to any such Power ofAttomey or to any certificate relating thereto by facsimile, and any such
Power of Attorney or certificate bearing such facsimile signatures shall be valid and binding upon the corporation when so affixed and in the future with respect to any bond, undertaking
or contract of suretyship to which it is attached.
IN WITNESS WHEREOF, DEVELOPERS SURETY AND INDEMNITY COMPANY has caused these presents to be signed by its officers and aliested by its Secretary or Assistant Secre-
tary this January 1st, 2008.
BY'
Daniel Young, Vice -President
By:
Stephen T. Pate, Senior Vice -President
State of Callomia
County of Orange
On August 13th2008 before me, Jenny TT Nguyen, Notary Public
Date Here Insert Name and Title of the Officer
personalty appeared Daniel Young and Stephen T. Pate
Name(s) of Signer(s)
who proved to me on the basis of satisfactory evidence to be the person(s) whose name(s) islaro subscribed to
the within Instrument and acknowledged to me that helshelthey executed the same in fiislhe Aheir authorized
capacity(es), and that by hislherltheir signaturefs) on the instrument the person(s), or the entityupon behalf of
which the persons) acted, executed the instrument.
- - I certify under PENALTY OF PERJURY under the laws of the Stale of California that the foregoing paragraph is
true and correct.
WITNESS my hand and officials I.
Place Notary Seal Above Signature
J TF Ng n, Public
OERTiFTCATE 6
The undersigned, as Secretary orAssistant Secretary of DEVELOPERS SURETY AND INDEMNITY COMPANY does hereby certify that the foregoing Power efAttomey
remains in full force and has not been revoked and, furthermore, that the provisions of the resolution of the Board of Directors of said corporation set forth in the Power ofAttomey are in
force as of the date of this Certificate.
This Certificate is executed in the City of Irvine, California, this 15th day of August, 2011.
BY. " c*
Gregg Oku � isiant Secretary
1D-1438(Rev.11109)